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
AMNIOEXCEL AMNIOTIC ALLOGRAFT MEMBRANE 4CM X 4CM
Hackensack, NJ
See all hospitals reporting HCPCS Q4137 →Price type
Hmh Hospitals Corporation’s median price of $129 is 19% below the median hospital's median price ($159), higher than 32% of the 1,253 hospitals reporting HCPCS Q4137. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 14 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $42 | $54 | $50 | 93% | — | $2 – $262 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $52 | $66 | $61 | 93% | — | $3 – $320 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $69 | $89 | $83 | 93% | — | $4 – $431 |
| 4 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $79 | $102 | $95 | 93% | — | $5 – $493 |
| 5 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $79 | $102 | $95 | 93% | — | $5 – $493 |
| 6 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $100 | $129 | $119 | 93% | — | $6 – $623 |
| 7 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $100 | $129 | $119 | 93% | — | $6 – $623 |
| 8 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $100 | $129 | $119 | 93% | — | $6 – $623 |
| 9 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $105 | $135 | $126 | 93% | — | $6 – $655 |
| 10 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $105 | $135 | $126 | 93% | — | $6 – $655 |
| 11 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $115 | $147 | $137 | 93% | — | $7 – $713 |
| 12 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $132 | $170 | $158 | 93% | — | $8 – $822 |
| 13 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $187 | $240 | $223 | 93% | — | $11 – $1.2k |
| 14 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $199 | $255 | $237 | 93% | — | $12 – $1.2k |
Last updated: Dec 31, 2025
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