Interfyl tissue graft product, per milligram at Medical City Plano

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INTERFYL 1 MG

Plano, TX

See all hospitals reporting HCPCS Q4171 →

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Pricing by billing methodology

Price type

How this price compares nationally

Medical City Plano’s median price of $230 is 897% above the median hospital's median price ($23), higher than 90% of the 987 hospitals reporting HCPCS Q4171. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4171 at Medical City Plano

Negotiated rates from the hospital’s own file: 7 payers, 36 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	Humana tricare fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
2	Cigna localplus fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
3	Cigna newbusiness fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
4	UnitedHealthcare allpayerappendix fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
5	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
6	UnitedHealthcare smallgroup fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
7	Cigna hmo fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
8	Cigna networkbenefit fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
9	Cigna openaccessplus fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
10	Cigna allother fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
11	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$796	$796	$776	97%	—	$20 – $1.6k
12	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$796	$796	$776	97%	—	$20 – $1.6k
13	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$796	$796	$776	97%	—	$20 – $1.6k
14	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$796	$796	$776	97%	—	$20 – $1.6k
15	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$796	$796	$776	97%	—	$20 – $1.6k
16	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	$1.5k	97%	—	$39 – $3.0k
17	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	$1.6k	97%	—	$40 – $3.1k
18	Aetna qhphix percent of total billed charges · outpatientfrom % of charges	$1.9k	$1.9k	$1.8k	97%	—	$47 – $3.7k
19	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$2.0k	$2.0k	$1.9k	97%	—	$50 – $3.9k
20	Aetna newbusiness percent of total billed charges · outpatientfrom % of charges	$2.7k	$2.7k	$2.6k	97%	—	$69 – $5.3k
21	Blue Cross Blue Shield blueadvantagehmo percent of total billed charges · outpatientfrom % of charges	$2.8k	$2.8k	$2.7k	97%	—	$71 – $5.5k
22	Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges	$2.8k	$2.8k	$2.7k	97%	—	$71 – $5.5k
23	Aetna comm percent of total billed charges · outpatientfrom % of charges	$2.9k	$2.9k	$2.8k	97%	—	$74 – $5.8k
24	Aetna meritain percent of total billed charges · outpatientfrom % of charges	$2.9k	$2.9k	$2.8k	97%	—	$74 – $5.8k
25	Blue Cross Blue Shield bluepremier percent of total billed charges · outpatientfrom % of charges	$3.3k	$3.3k	$3.2k	97%	—	$84 – $6.6k

Page 1 of 2 · 36 rates

Last updated: Mar 1, 2026

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