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
STRATTICE TM PER 1 SQ CM
Hialeah, FL
See all hospitals reporting HCPCS Q4130 →Price type
Hsa Pgh Llc’s median price of $128 is 36% below the median hospital's median price ($200), higher than 38% of the 1,238 hospitals reporting HCPCS Q4130. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 28 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 | Humana humana commercial hmo facility · other · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 2 | Humana humana commercial ppo facility · other · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 3 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 4 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $78 | $78 | — | — | — | $78 – $78 |
| 5 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $78 | $78 | — | — | — | $78 – $78 |
| 6 | Magellan magellan behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 7 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 8 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 9 | Molina molina managed medicaid facility · other · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 10 | Humana humana medicare hmo facility · fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 11 | Humana humana medicare ppo facility · fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 12 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $127 | $127 | — | — | — | $127 – $127 |
| 13 | UnitedHealthcare united healthcare of florida all payer facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 14 | UnitedHealthcare united healthcare of florida exchange facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 15 | UnitedHealthcare united healthcare of florida hmo facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 16 | UnitedHealthcare united healthcare of florida ppo facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 17 | Medicare medicare facility · fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 18 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 19 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 20 | Devoted devoted health facility · fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 21 | UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 22 | Molina molina medicare advantage program facility · fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 23 | Cigna cigna healthsprings facility · fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 24 | Ambetter ambetter by sunshine hix facility · fee schedule · outpatient | $240 | $240 | — | — | — | $240 – $240 |
| 25 | Amerihealth Caritas amerihealth caritas next exchange facility · fee schedule · outpatient | $279 | $279 | — | — | — | $279 – $279 |
Last updated: Sep 1, 2026
See Strattice tissue graft sheet, 20 x 20 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.