Puraply XT skin graft substitute, per square centimeter 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

Puraply xt 1 sq cm

Hamilton, OH

See all hospitals reporting HCPCS Q4197 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Fort Hamilton Hospital’s median price of $188 is 28% above the median hospital's median price ($147), higher than 70% of the 1,125 hospitals reporting HCPCS Q4197. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4197 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.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare all commercial plans fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
2	UnitedHealthcare employee fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
3	Medical Mutual new buisness other commercial plan fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
4	Aetna medicare managed care plan fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
5	Molina medicare managed care plan fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
6	Medical Mutual ppo fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
7	Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
8	Caresource marketplace exchange fee schedule · outpatient	$191	$191	—	—	—	$191 – $191
9	UnitedHealthcare exchange fee schedule · outpatient	$191	$191	—	—	—	$191 – $191
10	Cigna all commercial plans fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
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

See Puraply XT skin graft substitute, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.