Theraskin skin substitute, per square centimeter at Holy Cross Hospital-Silver Spring

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

GRAFT THERASKIN CROPRESERVED SKIN 3X6IN - 116 CM-COST PER SQ CM

Silver Spring, MD

See all hospitals reporting HCPCS Q4121 →

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Pricing by billing methodology

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How this price compares nationally

Holy Cross Hospital-Silver Spring’s median price of $123 is 6% below the median hospital's median price ($130), higher than 42% of the 1,609 hospitals reporting HCPCS Q4121. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4121 at Holy Cross Hospital-Silver Spring

Negotiated rates from the hospital’s own file: 15 payers, 26 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 healthspring medicare advantage facility · percent of total billed charges · bothfrom % of charges	$117	$186	$166	89%	—	$51 – $530
2	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$120	$190	$170	89%	—	$52 – $542
3	Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges	$120	$190	$170	89%	—	$52 – $542
4	Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges	$120	$190	$170	89%	—	$52 – $542
5	Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges	$121	$192	$171	89%	—	$52 – $546
6	UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges	$121	$192	$171	89%	—	$52 – $546
7	Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges	$122	$194	$173	89%	—	$53 – $552
8	UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges	$123	$195	$174	89%	—	$53 – $554
9	Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges	$123	$196	$175	89%	—	$53 – $558
10	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$125	$199	$177	89%	—	$54 – $566
11	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$130	$207	$184	89%	—	$56 – $588
12	Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges	$130	$207	$184	89%	—	$56 – $588
13	Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges	$130	$207	$184	89%	—	$56 – $588
14	Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges	$130	$207	$184	89%	—	$56 – $588
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$130	$207	$184	89%	—	$56 – $588
16	Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges	$130	$207	$184	89%	—	$56 – $588
17	Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$130	$207	$184	89%	—	$56 – $588
18	Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges	$130	$207	$184	89%	—	$56 – $588
19	Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges	$130	$207	$184	89%	—	$56 – $588
20	Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges	$130	$207	$184	89%	—	$56 – $588
21	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$130	$207	$184	89%	—	$56 – $588
22	Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$130	$207	$184	89%	—	$56 – $588
23	Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges	$132	$209	$186	89%	—	$57 – $594
24	Humana humana facility · percent of total billed charges · bothfrom % of charges	$132	$209	$186	89%	—	$57 – $594
25	Humana humana military facility · percent of total billed charges · bothfrom % of charges	$132	$209	$186	89%	—	$57 – $594

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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