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
Puraply 1 sq cm
Kettering, OH
See all hospitals reporting HCPCS Q4195 →Price type
Kettering Medical Center ’s median price of $190 is 16% above the median hospital's median price ($163), higher than 57% of the 1,243 hospitals reporting HCPCS Q4195. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | UnitedHealthcare all commercial plans fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 3 | UnitedHealthcare employee fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 4 | Molina medicare managed care plan fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 5 | Medical Mutual new buisness other commercial plan fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 6 | Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 7 | Caresource marketplace exchange fee schedule · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 8 | UnitedHealthcare exchange fee schedule · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 9 | Medical Mutual supermed ppo fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 10 | Molina exchange fee schedule · outpatient | $255 | $255 | — | — | — | $255 – $255 |
| 11 | Cigna all commercial plans fee schedule · outpatient | $279 | $279 | — | — | — | $279 – $279 |
| 12 | Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient | $423 | $423 | — | — | — | $423 – $423 |
Last updated: Apr 1, 2026
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