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
Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure)
Plano, TX
See all hospitals reporting HCPCS Q4184 →Price type
Medical City Plano’s median price of $145 is about the same as the median hospital's median price ($145), higher than 50% of the 938 hospitals reporting HCPCS Q4184. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 17 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 blueadvantagehmo fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 6 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Blue Cross Blue Shield ppo fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Humana tricare fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 9 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 10 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 11 | UnitedHealthcare smallgroup fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 12 | Cigna localplus fee schedule · outpatient | $484 | $484 | — | — | — | $484 – $484 |
| 13 | Cigna newbusiness fee schedule · outpatient | $485 | $485 | — | — | — | $485 – $485 |
| 14 | Cigna hmo fee schedule · outpatient | $541 | $541 | — | — | — | $541 – $541 |
| 15 | Cigna networkbenefit fee schedule · outpatient | $541 | $541 | — | — | — | $541 – $541 |
| 16 | Cigna openaccessplus fee schedule · outpatient | $541 | $541 | — | — | — | $541 – $541 |
| 17 | Cigna allother fee schedule · outpatient | $685 | $685 | — | — | — | $685 – $685 |
Last updated: Mar 1, 2026
See Cellesta skin substitute, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.