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
TISSUE SUB SFT GMRFTJKT 5X10CM 8600-5X10
Garrison, ND
See all hospitals reporting HCPCS Q4107 →Price type
Garrison Memorial Hospital’s median price of $2.7k is 1170% above the median hospital's median price ($216), higher than 84% 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, 13 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 | Humana medicare|all plans fee schedule · outpatient | $1.9k | $2.2k | $1.5k | 67% | — | $500 – $5.6k |
| 2 | Medica medicare|all plans fee schedule · outpatient | $1.9k | $2.2k | $1.5k | 67% | — | $500 – $5.6k |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $1.9k | $2.2k | $1.5k | 67% | — | $500 – $5.6k |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $1.9k | $2.3k | $1.5k | 67% | — | $510 – $5.7k |
| 5 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $2.8k | $3.3k | $2.2k | 67% | — | $740 – $8.2k |
| 6 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $2.8k | $3.3k | $2.2k | 67% | — | $740 – $8.2k |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $3.3k | $3.9k | $2.6k | 67% | — | $870 – $9.7k |
| 8 | Medica commercial|all plans fee schedule · inpatient | $3.3k | $3.9k | $2.6k | 67% | — | $870 – $9.7k |
| 9 | Medica commercial|all plans fee schedule · outpatient | $3.3k | $3.9k | $2.6k | 67% | — | $870 – $9.7k |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $3.4k | $4.0k | $2.7k | 67% | — | $900 – $10.0k |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $3.4k | $4.0k | $2.7k | 67% | — | $900 – $10.0k |
| 12 | Sanford Health Plan commercial|all plans fee schedule · inpatient | $3.6k | $4.2k | $2.8k | 67% | — | $950 – $10.6k |
| 13 | Sanford Health Plan commercial|all plans fee schedule · outpatient | $3.6k | $4.2k | $2.8k | 67% | — | $950 – $10.6k |
Last updated: Feb 28, 2026
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