Dermapure skin graft material, per square centimeter at Johnston Memorial Hospital

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

TT ALLOGRAFT DERMAPURE 3X4CM

ABINGDON, VA

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Pricing by billing methodology

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How this price compares nationally

Johnston Memorial Hospital’s median price of $126 is 1% below the median hospital's median price ($127), higher than 48% of the 1,116 hospitals reporting HCPCS Q4152. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4152 at Johnston Memorial Hospital

Negotiated rates from the hospital’s own file: 11 payers, 21 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	Cigna cigna individual family plan fee schedule · both	$89	$89	—	—	—	$89 – $89
2	Cigna cigna hmo fee schedule · both	$119	$119	—	—	—	$119 – $119
3	Cigna cigna open access plus fee schedule · both	$119	$119	—	—	—	$119 – $119
4	Cigna cigna ppo fee schedule · both	$119	$119	—	—	—	$119 – $119
5	Aetna aetna healthcare medicare fee schedule · both	$121	$121	—	—	—	$121 – $121
6	Blue Cross Blue Shield blue cross medicare fee schedule · both	$121	$121	—	—	—	$121 – $121
7	Humana humana medicare fee schedule · both	$121	$121	—	—	—	$121 – $121
8	UnitedHealthcare united healthcare medicare fee schedule · both	$121	$121	—	—	—	$121 – $121
9	Aetna aetna better health of virginia medicare fee schedule · both	$125	$125	—	—	—	$125 – $125
10	Blue Cross Blue Shield anthem medicare virginia fee schedule · both	$125	$125	—	—	—	$125 – $125
11	Molina molina healthcare medicare fee schedule · both	$126	$126	—	—	—	$126 – $126
12	Cigna cigna medicare fee schedule · both	$127	$127	—	—	—	$127 – $127
13	Devoted devoted health plan medicare fee schedule · both	$127	$127	—	—	—	$127 – $127
14	WellCare wellcare medicare fee schedule · both	$129	$129	—	—	—	$129 – $129
15	Blue Cross Blue Shield tenncare blue care fee schedule · both	$137	$137	—	—	—	$137 – $137
16	Blue Cross Blue Shield tenncare blue select fee schedule · both	$137	$137	—	—	—	$137 – $137
17	Ambetter ambetter fee schedule · both	$265	$265	—	—	—	$265 – $265
18	Medcost medcost vhn percent of total billed charges · bothfrom % of charges	$327	$327	—	—	—	$327 – $327
19	Aetna aetna percent of total billed charges · bothfrom % of charges	$597	$597	—	—	—	$597 – $597
20	Blue Cross Blue Shield blue cross ballad health employee percent of total billed charges · bothfrom % of charges	$655	$655	—	—	—	$655 – $655
21	First Health first health coventry percent of total billed charges · bothfrom % of charges	$935	$935	—	—	—	$935 – $935

Last updated: Mar 23, 2026

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