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
Amnio-maxx or lite per sq cm
Troy, OH
See all hospitals reporting HCPCS Q4239 →Price type
Kettering Medical Center’s median price of $292 is 16% above the median hospital's median price ($252), higher than 51% of the 927 hospitals reporting HCPCS Q4239. 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 | $122 | $122 | — | — | — | $122 – $122 |
| 2 | Molina medicare managed care plan fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 3 | Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 4 | Caresource marketplace exchange fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 5 | UnitedHealthcare exchange fee schedule · outpatient | $189 | $189 | — | — | — | $189 – $189 |
| 6 | Molina exchange fee schedule · outpatient | $253 | $253 | — | — | — | $253 – $253 |
| 7 | Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient | $427 | $427 | — | — | — | $427 – $427 |
| 8 | Medical Mutual new business other commercial plan fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 9 | UnitedHealthcare all commercial plans fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 10 | UnitedHealthcare employee fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 11 | Medical Mutual supermed ppo fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 12 | Cigna all commercial plans fee schedule · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
Last updated: Apr 1, 2026
See Amniotic membrane wound graft, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.