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
Surgigraft 1 sq cm
Montgomery, AL
See all hospitals reporting HCPCS Q4183 →Price type
Jackson Hospital’s median price of $486 is 203% above the median hospital's median price ($160), higher than 95% of the 859 hospitals reporting HCPCS Q4183. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 7 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 | Bcbs Al 100100 fee schedule · both | $486 | $486 | — | — | — | $486 – $486 |
| 2 | Bcbs Al 100109 fee schedule · both | $486 | $486 | — | — | — | $486 – $486 |
| 3 | Blue Cross Blue Shield 100101 fee schedule · both | $486 | $486 | — | — | — | $486 – $486 |
| 4 | Blue Cross Blue Shield 100102 fee schedule · both | $486 | $486 | — | — | — | $486 – $486 |
| 5 | Blue Cross Blue Shield 100104 fee schedule · both | $486 | $486 | — | — | — | $486 – $486 |
| 6 | Blue Cross Blue Shield 100105 fee schedule · both | $486 | $486 | — | — | — | $486 – $486 |
| 7 | Blue Cross Blue Shield 100108 fee schedule · both | $486 | $486 | — | — | — | $486 – $486 |
Last updated: Jun 23, 2026
See Surgical skin graft 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.