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
MICRODERM FENESTRATED 3 X 3
Teaneck, NJ
See all hospitals reporting HCPCS Q4175 →Price type
Holy Name’s median price of $886 is 589% above the median hospital's median price ($129), higher than 97% of the 999 hospitals reporting HCPCS Q4175. 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, 19 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges | $363 | $399 | $76 | 19% | — | $318 – $503 |
| 2 | Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges | $442 | $485 | $92 | 19% | — | $387 – $613 |
| 3 | Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges | $482 | $529 | $100 | 19% | — | $422 – $668 |
| 4 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $500 | $549 | $104 | 19% | — | $438 – $693 |
| 5 | Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges | $644 | $707 | $134 | 19% | — | $564 – $893 |
| 6 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $700 | $768 | $146 | 19% | — | $613 – $970 |
| 7 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $740 | $812 | $154 | 19% | — | $648 – $1.0k |
| 8 | Aetna better health mcd/chip facility · percent of total billed charges · inpatientfrom % of charges | $800 | $878 | $167 | 19% | — | $700 – $1.1k |
| 9 | Cigna hmo/pos facility · percent of total billed charges · inpatientfrom % of charges | $800 | $878 | $167 | 19% | — | $700 – $1.1k |
| 10 | UnitedHealthcare medicaid facility · percent of total billed charges · inpatientfrom % of charges | $800 | $878 | $167 | 19% | — | $700 – $1.1k |
| 11 | UnitedHealthcare uhc facility · percent of total billed charges · inpatientfrom % of charges | $800 | $878 | $167 | 19% | — | $700 – $1.1k |
| 12 | Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $880 | $966 | $183 | 19% | — | $770 – $1.2k |
| 13 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.4k | $263 | 19% | — | $1.1k – $1.7k |
| 14 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.4k | $271 | 19% | — | $1.1k – $1.8k |
| 15 | MultiPlan worker's comp facility · percent of total billed charges · bothfrom % of charges | $1.7k | $1.9k | $354 | 19% | — | $1.5k – $2.4k |
| 16 | MultiPlan auto accident medical facility · percent of total billed charges · bothfrom % of charges | $1.8k | $2.0k | $375 | 19% | — | $1.6k – $2.5k |
| 17 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.0k | $386 | 19% | — | $1.6k – $2.6k |
| 18 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.0k | $386 | 19% | — | $1.6k – $2.6k |
| 19 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.0k | $386 | 19% | — | $1.6k – $2.6k |
Last updated: Nov 10, 2025
See Miroderm skin substitute, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.