Amniotic tissue wound graft, per square centimeter at Hsa Pgh Llc

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

AMNIOBAND, GUARDIAN 1 SQ CM

Hialeah, FL

See all hospitals reporting HCPCS Q4151 →

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Pricing by billing methodology

Price type

How this price compares nationally

Hsa Pgh Llc’s median price of $130 is 33% below the median hospital's median price ($193), higher than 13% of the 1,303 hospitals reporting HCPCS Q4151. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4151 at Hsa Pgh Llc

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	$77	$77	—	—	—	$77 – $77
2	Humana humana commercial ppo facility · other · outpatient	$81	$81	—	—	—	$81 – $81
3	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
4	Molina molina managed medicaid facility · other · outpatient	$104	$104	—	—	—	$104 – $104
5	Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
6	Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
7	Magellan magellan behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
8	Humana humana medicare hmo facility · fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
9	Humana humana medicare ppo facility · fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
10	Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
11	UnitedHealthcare united healthcare of florida all payer facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
12	UnitedHealthcare united healthcare of florida exchange facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
13	UnitedHealthcare united healthcare of florida hmo facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
14	UnitedHealthcare united healthcare of florida ppo facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
15	Medicare medicare facility · fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
16	WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
17	Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
18	Devoted devoted health facility · fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
19	UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
20	Molina molina medicare advantage program facility · fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
21	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$134	$134	—	—	—	$134 – $134
22	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$134	$134	—	—	—	$134 – $134
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

Page 1 of 2 · 28 rates

Last updated: Sep 1, 2026

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