Amnioband placental tissue graft, per milligram at Lee's Summit 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

AMNIOBAND 1 MG

Lee's Summit, MO

See all hospitals reporting HCPCS Q4168 →

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How this price compares nationally

Lee's Summit Medical Center’s median price of $17 is 45% below the median hospital's median price ($32), higher than 13% of the 738 hospitals reporting HCPCS Q4168. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4168 at Lee's Summit Medical Center

Negotiated rates from the hospital’s own file: 5 payers, 14 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 familyhealthplanmcd percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
2	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
3	Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
4	Aetna Better Health mcd percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
5	Blue Cross Blue Shield blue-care(hmo) percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
6	Blue Cross Blue Shield blueaccess percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
7	Blue Cross Blue Shield preferred-careblue(ppo) percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
8	Blue Cross Blue Shield freedomnetwork percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
9	Blue Cross Blue Shield pc percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
10	Blue Cross Blue Shield participating percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
11	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
12	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
13	MultiPlan complimentarynetwork percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
14	MultiPlan wcompmissouri percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34

Last updated: Mar 1, 2026

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