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
Restorigin 1 sq cm
Dublin, OH
See all hospitals reporting HCPCS Q4191 →Price type
Dublin Methodist Hospital’s median price of $2.2k is 501% above the median hospital's median price ($373), higher than 95% of the 912 hospitals reporting HCPCS Q4191. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 4 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 managed care plan fee schedule · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 2 | Caresource exchange fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | UnitedHealthcare all commercial plans fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 4 | UnitedHealthcare options other commercial plan fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
Last updated: Apr 1, 2026
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