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
AMNIOEXCEL 4X8CM #25048
Schenectady, NY
See all hospitals reporting HCPCS Q4137 →Price type
Ellis Hospital’s median price of $243 is 52% above the median hospital's median price ($159), higher than 74% of the 1,246 hospitals reporting HCPCS Q4137. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 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 | Tricare tricare facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 2 | Medicare medicare facility · fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 3 | Blue Cross Blue Shield blue shield senior facility · fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 4 | UnitedHealthcare united healthcare facility · percent of total billed charges · inpatientfrom % of charges | $600 | $1.2k | $1.5k | 121% | — | $158 – $5.1k |
| 5 | UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges | $600 | $1.2k | $1.5k | 121% | — | $158 – $5.1k |
| 6 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $623 | $1.3k | $1.6k | 121% | — | $164 – $5.2k |
| 7 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $638 | $1.3k | $1.6k | 121% | — | $168 – $5.4k |
Last updated: Jun 25, 2026
See Amniotic membrane 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.