Human dermal matrix graft at Fort Hamilton Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Flexhd/allopatchhd/matrixhd

Hamilton, OH

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How this price compares nationally

Fort Hamilton Hospital’s median price of $158 is 19% above the median hospital's median price ($133), higher than 60% of the 1,539 hospitals reporting HCPCS Q4128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4128 at Fort Hamilton Hospital

Negotiated rates from the hospital’s own file: 7 payers, 12 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	UnitedHealthcare all commercial plans fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
2	UnitedHealthcare employee fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
3	Medical Mutual new buisness other commercial plan fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
4	Cigna all commercial plans fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
5	Medical Mutual ppo fee schedule · outpatient	$70	$70	—	—	—	$70 – $70
6	Aetna medicare managed care plan fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
7	Molina medicare managed care plan fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
8	Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
9	Caresource marketplace exchange fee schedule · outpatient	$191	$191	—	—	—	$191 – $191
10	UnitedHealthcare exchange fee schedule · outpatient	$191	$191	—	—	—	$191 – $191
11	Molina exchange fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
12	Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient	$429	$429	—	—	—	$429 – $429

Last updated: Apr 1, 2026

Compare to other hospitals

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