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
GRAFTJACKET 5 X 5 CM
Duncan, OK
See all hospitals reporting HCPCS Q4107 →Price type
Duncan Regional Hospital’s median price of $6.2k is 2763% above the median hospital's median price ($216), higher than 94% of the 1,589 hospitals reporting HCPCS Q4107. 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, 7 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 | Medica ppo percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 2 | Healthcare Highways sync ppo percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 3 | Healthcare Highways logix ppo percent of total billed charges · outpatientfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 4 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 5 | Aetna all plans percent of total billed charges · outpatientfrom % of charges | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 6 | Cigna ppo/pos percent of total billed charges · outpatientfrom % of charges | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 7 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
Last updated: Mar 14, 2026
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