GRFT APL 0.75X7.5 at Mayo Clinic

Rochester, MN

See all hospitals reporting HCPCS Q4101 →

Pricing by billing methodology

Price type

How this price compares nationally

Mayo Clinic’s median price of $2.6k is 2102% above the median hospital's median price ($120), higher than 94% of the 1,917 hospitals reporting HCPCS Q4101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4101 at Mayo Clinic

Negotiated rates from the hospital’s own file: 18 payers, 63 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	Blue Cross Blue Shield pps medicaid bcbs [1146] facility · fee schedule · both	$136	$136	—	—	—	$136 – $136
2	Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco southern [1123] facility · fee schedule · both	$144	$144	—	—	—	$144 – $144
3	Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo [826] facility · fee schedule · both	$144	$144	—	—	—	$144 – $144
4	Optum veteran affairs optum [1045] facility · other · both	$144	$144	—	—	—	$144 – $144
5	Ucare ucare connect+ medicare advantage plan [1116] facility · other · both	$147	$147	—	—	—	$147 – $147
6	Medica medica advantage solution by county medicare advantage plan [793] facility · other · both	$148	$148	—	—	—	$148 – $148
7	Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [228] facility · other · both	$151	$151	—	—	—	$151 – $151
8	UnitedHealthcare united healthcare medicare advantage plan [1249] facility · other · both	$155	$155	—	—	—	$155 – $155
9	Medica medica advantage solution medicare advantage plan [1206] facility · other · both	$158	$158	—	—	—	$158 – $158
10	Ucare ucare essentia care medicare advantage plan [779] facility · other · both	$158	$158	—	—	—	$158 – $158
11	Humana transplant humana medicare advantage plan [1002] facility · other · both	$165	$165	—	—	—	$165 – $165
12	Blue Cross Blue Shield medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$580	$580	—	—	—	$580 – $580
13	Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges	$580	$580	—	—	—	$580 – $580
14	Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges	$580	$580	—	—	—	$580 – $580
15	Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$580	$580	—	—	—	$580 – $580
16	Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$580	$580	—	—	—	$580 – $580
17	Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges	$580	$580	—	—	—	$580 – $580
18	UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$580	$580	—	—	—	$580 – $580
19	Medica medica medicaid [1244] facility · percent of total billed charges · bothfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	Medica medica medicare advantage plan msho msc+ cap [167] facility · percent of total billed charges · bothfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
21	Medica medicaid medica choice care msc+ [1175] facility · percent of total billed charges · bothfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
22	Blue Cross Blue Shield blue cross blue shield aco [851] facility · percent of total billed charges · bothfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
23	Ucare ucare ifp [1108] facility · percent of total billed charges · bothfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
24	Blue Cross Blue Shield blue cross blue shield fep [874] facility · percent of total billed charges · bothfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
25	Anthem blue cross blue shield by payor [14] facility · percent of total billed charges · bothfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k

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Last updated: Aug 14, 2026

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