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
THERION PER SQ CM 6 UNITS
BEAVER, PA
See all hospitals reporting HCPCS Q4176 →Price type
Heritage Valley Beaver’s median price of $121 is 32% below the median hospital's median price ($178), higher than 10% of the 922 hospitals reporting HCPCS Q4176. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 15 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 | Cigna cigna healthcare percent of total billed charges · bothfrom % of charges | $56 | $56 | $5 | 9% | — | $51 – $61 |
| 2 | UnitedHealthcare united healthcare all payer other · both | $80 | $80 | $8 | 9% | — | $72 – $87 |
| 3 | Aetna aetna health percent of total billed charges · bothfrom % of charges | $99 | $99 | $9 | 9% | — | $90 – $108 |
| 4 | Highmark blue cross freedom blue medicare fee schedule · both | $106 | $106 | — | — | — | $106 – $106 |
| 5 | Highmark blue cross community blue medicare (28) fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 6 | Highmark blue cross complete medicare fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 7 | Highmark blue cross my direct blue (2u) fee schedule · both | $115 | $115 | — | — | — | $115 – $115 |
| 8 | Aetna aetna medicare fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 9 | Cigna cigna medicare fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 10 | UnitedHealthcare united healthcare medicare fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 11 | Highmark blue cross security blue medicare fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 12 | Highmark blue cross managed care chip (81 & 12) fee schedule · both | $140 | $140 | — | — | — | $140 – $140 |
| 13 | Highmark blue cross connect blue epo (86) fee schedule · both | $175 | $175 | $12 | 7% | — | $163 – $187 |
| 14 | Highmark blue cross commercial (20) fee schedule · both | $180 | $180 | $17 | 9% | — | $163 – $197 |
| 15 | Highmark blue cross community blue (28) fee schedule · both | $180 | $180 | $17 | 9% | — | $163 – $197 |
Last updated: Mar 27, 2026
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