Human dermal matrix graft at Key West HMA LLC

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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

FLX/ALLO/MAT HD SQCM

Key West, FL

See all hospitals reporting HCPCS Q4128 →

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Pricing by billing methodology

Price type

How this price compares nationally

Key West HMA LLC’s median price of $198 is 49% above the median hospital's median price ($133), higher than 64% of the 1,528 hospitals reporting HCPCS Q4128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4128 at Key West HMA LLC

Negotiated rates from the hospital’s own file: 9 payers, 22 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	UnitedHealthcare uhc medicaid fl facility · per diem · outpatient	$62	$62	—	—	—	$62 – $62
2	UnitedHealthcare uhc kids medicaid fl facility · per diem · outpatient	$65	$65	—	—	—	$65 – $65
3	Molina molina medicaid fl facility · other · outpatient	$97	$97	—	—	—	$97 – $97
4	Bcbs Fl bcbs fl chs employee facility · percent of total billed charges · inpatientfrom % of charges	$99	$99	—	—	—	$99 – $99
5	Tricare node tricare facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
6	Bcbs Fl node bcbs fl mcr adv facility · fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
7	Humana node humana mcr adv facility · fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
8	Optum node united optum va ccn facility · fee schedule · outpatient	$139	$139	—	—	—	$139 – $139
9	Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
10	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
11	Bcbs Fl bcbs fl chs employee facility · percent of total billed charges · outpatientfrom % of charges	$181	$181	—	—	—	$181 – $181
12	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$198	$198	—	—	—	$198 – $198
13	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$198	$198	—	—	—	$198 – $198
14	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$218	$218	—	—	—	$218 – $218
15	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$218	$218	—	—	—	$218 – $218
16	Bcbs Fl bcbs fl bsl facility · other · outpatient	$283	$283	—	—	—	$283 – $283
17	Bcbs Fl bcbs fl hmo facility · other · outpatient	$283	$283	—	—	—	$283 – $283
18	Bcbs Fl bcbs fl mbn facility · other · outpatient	$283	$283	—	—	—	$283 – $283
19	Bcbs Fl bcbs fl nwb facility · other · outpatient	$283	$283	—	—	—	$283 – $283
20	Bcbs Fl bcbs fl phs facility · other · outpatient	$283	$283	—	—	—	$283 – $283
21	Bcbs Fl bcbs fl ppo facility · other · outpatient	$283	$283	—	—	—	$283 – $283
22	Blue Cross Blue Shield bcbs fl sbn facility · other · outpatient	$283	$283	—	—	—	$283 – $283

Last updated: Apr 1, 2026

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