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
GRAFT SKIN ARTHROFLX 35X35CM 12.25SQCM -COST PER SQ CM
Silver Spring, MD
See all hospitals reporting HCPCS Q4125 →Price type
Holy Cross Hospital-Silver Spring’s median price of $279 is 54% below the median hospital's median price ($606), higher than 38% of the 1,310 hospitals reporting HCPCS Q4125. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $256 | $567 | $1.2k | 207% | — | $16 – $5.1k |
| 2 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $261 | $580 | $1.2k | 207% | — | $16 – $5.2k |
| 3 | Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges | $261 | $580 | $1.2k | 207% | — | $16 – $5.2k |
| 4 | Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges | $261 | $580 | $1.2k | 207% | — | $16 – $5.2k |
| 5 | Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges | $263 | $584 | $1.2k | 207% | — | $16 – $5.2k |
| 6 | UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges | $263 | $584 | $1.2k | 207% | — | $16 – $5.2k |
| 7 | Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges | $266 | $590 | $1.2k | 207% | — | $16 – $5.3k |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $267 | $593 | $1.2k | 207% | — | $16 – $5.3k |
| 9 | Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges | $269 | $597 | $1.2k | 207% | — | $16 – $5.3k |
| 10 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $273 | $606 | $1.3k | 207% | — | $17 – $5.4k |
| 11 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $284 | $629 | $1.3k | 207% | — | $17 – $5.6k |
| 12 | Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges | $284 | $629 | $1.3k | 207% | — | $17 – $5.6k |
| 13 | Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges | $284 | $629 | $1.3k | 207% | — | $17 – $5.6k |
| 14 | Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges | $284 | $629 | $1.3k | 207% | — | $17 – $5.6k |
| 15 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $284 | $629 | $1.3k | 207% | — | $17 – $5.6k |
| 16 | Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges | $284 | $629 | $1.3k | 207% | — | $17 – $5.6k |
| 17 | Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $284 | $629 | $1.3k | 207% | — | $17 – $5.6k |
| 18 | Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges | $284 | $629 | $1.3k | 207% | — | $17 – $5.6k |
| 19 | Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges | $284 | $629 | $1.3k | 207% | — | $17 – $5.6k |
| 20 | Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges | $284 | $629 | $1.3k | 207% | — | $17 – $5.6k |
| 21 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $284 | $629 | $1.3k | 207% | — | $17 – $5.6k |
| 22 | Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $284 | $629 | $1.3k | 207% | — | $17 – $5.6k |
| 23 | Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges | $287 | $636 | $1.3k | 207% | — | $17 – $5.7k |
| 24 | Humana humana facility · percent of total billed charges · bothfrom % of charges | $287 | $636 | $1.3k | 207% | — | $17 – $5.7k |
| 25 | Humana humana military facility · percent of total billed charges · bothfrom % of charges | $287 | $636 | $1.3k | 207% | — | $17 – $5.7k |
Last updated: Mar 31, 2026
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