Biovance amniotic tissue graft, per square centimeter at Kettering Medical Center

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

Biovance 1 square cm

Kettering, OH

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Pricing by billing methodology

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How this price compares nationally

Kettering Medical Center ’s median price of $192 is 10% above the median hospital's median price ($174), higher than 54% of the 1,084 hospitals reporting HCPCS Q4154. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4154 at Kettering Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 12 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	Aetna medicare managed care plan fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
2	Molina medicare managed care plan fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
3	UnitedHealthcare all commercial plans fee schedule · outpatient	$176	$176	—	—	—	$176 – $176
4	UnitedHealthcare employee fee schedule · outpatient	$176	$176	—	—	—	$176 – $176
5	Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient	$183	$183	—	—	—	$183 – $183
6	Caresource marketplace exchange fee schedule · outpatient	$190	$190	—	—	—	$190 – $190
7	UnitedHealthcare exchange fee schedule · outpatient	$190	$190	—	—	—	$190 – $190
8	Medical Mutual new buisness other commercial plan fee schedule · outpatient	$194	$194	—	—	—	$194 – $194
9	Molina exchange fee schedule · outpatient	$255	$255	—	—	—	$255 – $255
10	Medical Mutual supermed ppo fee schedule · outpatient	$324	$324	—	—	—	$324 – $324
11	Cigna all commercial plans fee schedule · outpatient	$373	$373	—	—	—	$373 – $373
12	Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient	$423	$423	—	—	—	$423 – $423

Last updated: Apr 1, 2026

Compare to other hospitals

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