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
GFT SFT TISS EPIFIX PURION 4 SQ CM ALGRF
Dillon, SC
See all hospitals reporting HCPCS Q4186 →Price type
McLeod Health’s median price of $355 is 20% above the median hospital's median price ($295), higher than 59% of the 1,871 hospitals reporting HCPCS Q4186. 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, 11 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 | Tricare dha fee schedule · both | $143 | $143 | — | — | — | $143 – $143 |
| 2 | Blue Cross Blue Shield medicaid fee schedule · both | $278 | $278 | — | — | — | $278 – $278 |
| 3 | Medicaid medicaid fee schedule · both | $278 | $278 | — | — | — | $278 – $278 |
| 4 | Molina medicaid fee schedule · both | $292 | $292 | — | — | — | $292 – $292 |
| 5 | Cigna commercial fee schedule · both | $355 | $355 | — | — | — | $355 – $355 |
| 6 | Blue Cross Blue Shield hix percent of total billed charges · bothfrom % of charges | $2.9k | $2.9k | $44 | 2% | — | $2.8k – $2.9k |
| 7 | Blue Cross Blue Shield state percent of total billed charges · bothfrom % of charges | $3.7k | $3.6k | $55 | 2% | — | $3.5k – $3.7k |
| 8 | Blue Cross Blue Shield preferred percent of total billed charges · bothfrom % of charges | $4.2k | $4.1k | $63 | 2% | — | $4.1k – $4.2k |
| 9 | Blue Cross Blue Shield choice percent of total billed charges · bothfrom % of charges | $5.0k | $5.0k | $76 | 2% | — | $4.9k – $5.0k |
| 10 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $5.7k | $5.6k | $86 | 2% | — | $5.5k – $5.7k |
| 11 | Aetna commercial percent of total billed charges · bothfrom % of charges | $5.9k | $5.8k | $88 | 2% | — | $5.7k – $5.9k |
Last updated: Jul 20, 2026
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