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
ALLOGRFT AMNIOTIC EPIFIX 1.5CM GS-5140
Enumclaw, WA
See all hospitals reporting HCPCS Q4186 →Price type
Enumclaw Regional Hospital Association’s median price of $1.4k is 376% above the median hospital's median price ($295), higher than 86% of the 1,871 hospitals reporting HCPCS Q4186. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 24 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 | Kaiser medicare|all plans fee schedule · outpatient | $438 | $2.8k | $4.0k | 145% | — | $187 – $13.3k |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $438 | $2.8k | $4.0k | 145% | — | $187 – $13.3k |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $441 | $2.8k | $4.1k | 145% | — | $188 – $13.3k |
| 4 | Optum medicare|all plans fee schedule · outpatient | $442 | $2.8k | $4.1k | 145% | — | $189 – $13.4k |
| 5 | Premera medicare|all plans fee schedule · outpatient | $451 | $2.9k | $4.2k | 145% | — | $193 – $13.7k |
| 6 | Regence medicare|all plans fee schedule · outpatient | $451 | $2.9k | $4.2k | 145% | — | $193 – $13.7k |
| 7 | Humana medicare|all plans fee schedule · outpatient | $469 | $3.0k | $4.3k | 145% | — | $200 – $14.2k |
| 8 | Molina medicare|all plans fee schedule · outpatient | $473 | $3.0k | $4.4k | 145% | — | $202 – $14.3k |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $473 | $3.0k | $4.4k | 145% | — | $202 – $14.3k |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $535 | $3.4k | $4.9k | 145% | — | $229 – $16.2k |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $722 | $4.6k | $6.7k | 145% | — | $309 – $21.9k |
| 12 | Molina medicaid|all plans fee schedule · inpatient | $726 | $4.6k | $6.7k | 145% | — | $310 – $22.0k |
| 13 | Molina commercial|marketplace exchange fee schedule · outpatient | $841 | $5.4k | $7.7k | 145% | — | $359 – $25.4k |
| 14 | Aetna commercial|awh fee schedule · inpatient | $973 | $6.2k | $9.0k | 145% | — | $416 – $29.5k |
| 15 | Aetna commercial|all other plans fee schedule · inpatient | $1.2k | $7.4k | $10.8k | 145% | — | $499 – $35.3k |
| 16 | Aetna commercial|rental fee schedule · inpatient | $1.8k | $11.2k | $16.1k | 145% | — | $749 – $53.0k |
| 17 | Aetna commercial|rental fee schedule · outpatient | $1.8k | $11.2k | $16.1k | 145% | — | $749 – $53.0k |
| 18 | UnitedHealthcare commercial|cascade care fee schedule · outpatient | $8.2k | $13.2k | $12.3k | 93% | — | $1.1k – $36.1k |
| 19 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $8.2k | $13.2k | $12.3k | 93% | — | $1.1k – $36.1k |
| 20 | Cigna commercial|all plans fee schedule · outpatient | $8.4k | $13.5k | $12.6k | 93% | — | $1.1k – $36.8k |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $2.2k | $13.9k | $20.2k | 145% | — | $936 – $66.3k |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $2.2k | $13.9k | $20.2k | 145% | — | $936 – $66.3k |
| 23 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $8.7k | $14.0k | $13.1k | 93% | — | $1.2k – $38.3k |
| 24 | Cigna commercial|all plans fee schedule · inpatient | $9.2k | $14.8k | $13.8k | 93% | — | $1.2k – $40.5k |
Last updated: Feb 28, 2026
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