Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Graft Jacket Express 2 Cc
Corning, NY
See all hospitals reporting HCPCS Q4113 →Price type
Corning Hospital’s median price of $9.7k is 387% above the median hospital's median price ($2.0k), higher than 99% of the 1,053 hospitals reporting HCPCS Q4113. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 2 | Blue Cross Blue Shield blue medicare hmo/ppo facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 3 | Blue Cross Blue Shield excellus facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 4 | Blue Cross Blue Shield highmark facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 5 | Blue Cross Blue Shield highmark ppo facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 6 | Blue Cross Blue Shield highmark wholecare medicare advantage facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 7 | Blue Cross Blue Shield managed medicaid facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 8 | Blue Cross Blue Shield medicare advantage facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 9 | Humana medicare advantage facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 10 | Tricare martin point facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 11 | Tricare medicare advantage facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 12 | UnitedHealthcare managed medicaid facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 13 | UnitedHealthcare medicare advantage facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 14 | WellCare fidelis medicare advantage facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 15 | WellCare managed medicaid facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 16 | WellCare medicare advantage facility · other · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
Last updated: Mar 31, 2026
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