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
Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure)
SAN ANTONIO, TX
See all hospitals reporting HCPCS Q4392 →Price type
Methodist Hospital’s median price of $214 is 2% above the median hospital's median price ($210), higher than 70% of the 366 hospitals reporting HCPCS Q4392. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 10 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 mybluehealth fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 2 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 3 | UnitedHealthcare charter fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 4 | UnitedHealthcare nexusaco fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 5 | UnitedHealthcare smallgroup fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 6 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $219 | $219 | — | — | — | $219 – $219 |
| 7 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 8 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 9 | Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 10 | Blue Cross Blue Shield ppo fee schedule · outpatient | $335 | $335 | — | — | — | $335 – $335 |
Last updated: May 1, 2026
See Grafix duo wound graft per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.