Human dermal matrix graft 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

FLEXHD PLIABLE 6 X 16CM PERFORATED-COST PER SQ CM

Silver Spring, MD

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How this price compares nationally

Holy Cross Hospital-Silver Spring’s median price of $69 is 48% below the median hospital's median price ($133), higher than 27% of the 1,531 hospitals reporting HCPCS Q4128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4128 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	$63	$70	$31	44%	—	$12 – $153
2	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$64	$71	$31	44%	—	$12 – $156
3	Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges	$64	$71	$31	44%	—	$12 – $156
4	Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges	$64	$71	$31	44%	—	$12 – $156
5	Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges	$64	$72	$31	44%	—	$12 – $158
6	UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges	$64	$72	$31	44%	—	$12 – $158
7	Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges	$65	$73	$32	44%	—	$13 – $159
8	UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges	$65	$73	$32	44%	—	$13 – $160
9	Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges	$66	$73	$32	44%	—	$13 – $161
10	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$67	$74	$33	44%	—	$13 – $163
11	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$69	$77	$34	44%	—	$13 – $170
12	Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges	$69	$77	$34	44%	—	$13 – $170
13	Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges	$69	$77	$34	44%	—	$13 – $170
14	Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges	$69	$77	$34	44%	—	$13 – $170
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$69	$77	$34	44%	—	$13 – $170
16	Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges	$69	$77	$34	44%	—	$13 – $170
17	Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$69	$77	$34	44%	—	$13 – $170
18	Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges	$69	$77	$34	44%	—	$13 – $170
19	Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges	$69	$77	$34	44%	—	$13 – $170
20	Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges	$69	$77	$34	44%	—	$13 – $170
21	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$69	$77	$34	44%	—	$13 – $170
22	Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$69	$77	$34	44%	—	$13 – $170
23	Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges	$70	$78	$34	44%	—	$14 – $172
24	Humana humana facility · percent of total billed charges · bothfrom % of charges	$70	$78	$34	44%	—	$14 – $172
25	Humana humana military facility · percent of total billed charges · bothfrom % of charges	$70	$78	$34	44%	—	$14 – $172

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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