PuraPly wound covering, 1 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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PURAPLY AM 1 SQ CM

Hialeah, FL

See all hospitals reporting HCPCS Q4196 →

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Pricing by billing methodology

Price type

How this price compares nationally

Hsa Pgh Llc’s median price of $133 is 36% below the median hospital's median price ($210), higher than 21% of the 1,823 hospitals reporting HCPCS Q4196. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4196 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	Molina molina managed medicaid facility · other · outpatient	$104	$104	—	—	—	$104 – $104
2	Humana humana medicare hmo facility · fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
3	Humana humana medicare ppo facility · fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
4	Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
5	UnitedHealthcare united healthcare of florida all payer facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
6	UnitedHealthcare united healthcare of florida exchange facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
7	UnitedHealthcare united healthcare of florida hmo facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
8	UnitedHealthcare united healthcare of florida ppo facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
9	Medicare medicare facility · fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
10	WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
11	Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
12	Devoted devoted health facility · fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
13	UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
14	Molina molina medicare advantage program facility · fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
15	Cigna cigna healthsprings facility · fee schedule · outpatient	$134	$134	—	—	—	$134 – $134
16	Humana humana commercial hmo facility · other · outpatient	$199	$199	—	—	—	$199 – $199
17	Humana humana commercial ppo facility · other · outpatient	$208	$208	—	—	—	$208 – $208
18	Ambetter ambetter by sunshine hix facility · fee schedule · outpatient	$240	$240	—	—	—	$240 – $240
19	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$257	$257	—	—	—	$257 – $257
20	Amerihealth Caritas amerihealth caritas next exchange facility · fee schedule · outpatient	$279	$279	—	—	—	$279 – $279
21	Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges	$292	$292	—	—	—	$292 – $292
22	Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges	$292	$292	—	—	—	$292 – $292
23	Magellan magellan behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$308	$308	—	—	—	$308 – $308
24	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$344	$344	—	—	—	$344 – $344
25	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$344	$344	—	—	—	$344 – $344

Page 1 of 2 · 28 rates

Last updated: Sep 1, 2026

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