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
Amnio-maxx or lite per sq cm
Monroe, WI
See all hospitals reporting HCPCS Q4239 →Price type
Monroe Clinic, Inc.’s median price of $3.3k is 1228% above the median hospital's median price ($252), higher than 89% of the 927 hospitals reporting HCPCS Q4239. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 6 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 | Aetna medicare managed care plan fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 2 | Blue Cross Blue Shield blue access ppo fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 3 | Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 4 | Blue Cross Blue Shield blue traditional traditional fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 5 | UnitedHealthcare all commercial plans fee schedule · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 6 | Aetna all commercial plans fee schedule · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
Last updated: Apr 1, 2026
See Amniotic membrane 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.