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
18474-0000-08 - Collagen-Antimicrobial Sheet 4 cm2
Jackson, MS
See all hospitals reporting HCPCS Q4196 →Price type
Jackson HMA LLC’s median price of $256 is 22% above the median hospital's median price ($210), higher than 60% of the 1,823 hospitals reporting HCPCS Q4196. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 18 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 chip facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 2 | Molina molina medicaid ms facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 4 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 5 | Optum node united optum va ccn facility · fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 6 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 7 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 8 | Molina node molina mcr adv facility · fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 9 | Aetna node first choice aetna mcr adv facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 10 | WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 11 | Tricare node tricare facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 12 | UnitedHealthcare uhc iex facility · percent of total billed charges · outpatientfrom % of charges | $259 | $259 | — | — | — | $259 – $259 |
| 13 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $276 | $276 | — | — | — | $276 – $276 |
| 14 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $279 | $279 | — | — | — | $279 – $279 |
| 15 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges | $297 | $297 | — | — | — | $297 – $297 |
| 16 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $297 | $297 | — | — | — | $297 – $297 |
| 17 | Aetna aetna pho facility · other · outpatient | $700 | $700 | — | — | — | $700 – $700 |
| 18 | Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient | $980 | $980 | — | — | — | $980 – $980 |
Last updated: Apr 1, 2026
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