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
AMNIOGUARD 7X7 5965X-7755
Phoenix, AZ
See all hospitals reporting HCPCS Q4151 →Price type
Dignity Health’s median price of $8.7k is 4423% above the median hospital's median price ($193), higher than 100% of the 1,304 hospitals reporting HCPCS Q4151. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 2 | Cigna commercial|exchange fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 3 | Cigna commercial|localplus surefit fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 4 | Cigna commercial|all other plans fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 5 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $723 | $723 | — | — | — | $723 – $723 |
| 6 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $723 | $723 | — | — | — | $723 – $723 |
| 7 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $964 | $964 | — | — | — | $964 – $964 |
| 8 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 10 | Aetna commercial|all plans fee schedule · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 11 | Optum commercial|optumhealth fee schedule · outpatient | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 12 | Cigna commercial|lifesource fee schedule · outpatient | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 13 | First Health commercial|all plans fee schedule · inpatient | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 14 | First Health commercial|all plans fee schedule · outpatient | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 15 | MultiPlan commercial|all plans fee schedule · inpatient | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
| 16 | MultiPlan commercial|all plans fee schedule · outpatient | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
Last updated: Feb 28, 2026
See Amniotic tissue wound graft, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.