Grafix Plus skin substitute, per square centimeter 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

Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure)

Plano, TX

See all hospitals reporting HCPCS Q4304 →

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Pricing by billing methodology

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How this price compares nationally

Medical City Plano’s median price of $311 is 15% below the median hospital's median price ($368), higher than 47% of the 888 hospitals reporting HCPCS Q4304. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4304 at Medical City Plano

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	UnitedHealthcare allpayerappendix fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
2	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
3	UnitedHealthcare smallgroup fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
4	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$225	$225	—	—	—	$225 – $225
5	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$225	$225	—	—	—	$225 – $225
6	Blue Cross Blue Shield bluepremier fee schedule · outpatient	$255	$255	—	—	—	$255 – $255
7	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$290	$290	—	—	—	$290 – $290
8	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$290	$290	—	—	—	$290 – $290
9	Blue Cross Blue Shield eposoa fee schedule · outpatient	$305	$305	—	—	—	$305 – $305
10	Blue Cross Blue Shield ppo fee schedule · outpatient	$318	$318	—	—	—	$318 – $318
11	Humana tricare fee schedule · outpatient	$731	$731	—	—	—	$731 – $731
12	Cigna localplus fee schedule · outpatient	$3.7k	$3.7k	—	—	—	$3.7k – $3.7k
13	Cigna newbusiness fee schedule · outpatient	$3.7k	$3.7k	—	—	—	$3.7k – $3.7k
14	Cigna hmo fee schedule · outpatient	$4.1k	$4.1k	—	—	—	$4.1k – $4.1k
15	Cigna networkbenefit fee schedule · outpatient	$4.1k	$4.1k	—	—	—	$4.1k – $4.1k
16	Cigna openaccessplus fee schedule · outpatient	$4.1k	$4.1k	—	—	—	$4.1k – $4.1k
17	Cigna allother fee schedule · outpatient	$5.2k	$5.2k	—	—	—	$5.2k – $5.2k

Last updated: Mar 1, 2026

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