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
ASCENT 15MG 949X-1234
Gilbert, AZ
See all hospitals reporting HCPCS Q4213 →Price type
Dignity Health’s median price of $893 is 685% above the median hospital's median price ($114), higher than 99% of the 764 hospitals reporting HCPCS Q4213. 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, 17 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 2 | Cigna commercial|exchange fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 3 | Cigna commercial|localplus surefit fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 4 | Cigna commercial|all other plans fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 5 | Cigna commercial|ppo fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 6 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 7 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 8 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $312 | $312 | — | — | — | $312 – $312 |
| 9 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $463 | $463 | — | — | — | $463 – $463 |
| 10 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | Aetna commercial|all other plans fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Aetna commercial|hmo fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | Aetna commercial|ppo fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | First Health commercial|all plans fee schedule · inpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 15 | First Health commercial|all plans fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 16 | MultiPlan commercial|all plans fee schedule · inpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 17 | MultiPlan commercial|all plans fee schedule · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
Last updated: Feb 28, 2026
See Ascent skin substitute graft material, 0.5 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.