Affinity product, billed per square centimeter at Mount Carmel Dublin

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MEMBRANE AFFINITY FRESH AMNIOTIC 2.5X2.5CM -COST PER SQ CM

Dublin, OH

See all hospitals reporting HCPCS Q4159 →

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Pricing by billing methodology

Price type

How this price compares nationally

Mount Carmel Dublin’s median price of $370 is 4% above the median hospital's median price ($356), higher than 52% of the 1,407 hospitals reporting HCPCS Q4159. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4159 at Mount Carmel Dublin

Negotiated rates from the hospital’s own file: 13 payers, 20 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 aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$172	$172	—	—	—	$172 – $172
2	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$277	$277	—	—	—	$277 – $277
3	Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges	$356	$356	—	—	—	$356 – $356
4	Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges	$366	$366	—	—	—	$366 – $366
5	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$370	$370	—	—	—	$370 – $370
6	Medical Mutual medical mutual supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges	$382	$382	—	—	—	$382 – $382
7	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$389	$389	—	—	—	$389 – $389
8	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$401	$401	—	—	—	$401 – $401
9	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$405	$405	—	—	—	$405 – $405
10	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$405	$405	—	—	—	$405 – $405
11	Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges	$412	$412	—	—	—	$412 – $412
12	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$418	$418	—	—	—	$418 – $418
13	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$438	$438	—	—	—	$438 – $438
14	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$445	$445	—	—	—	$445 – $445
15	Oscar oscar facility · percent of total billed charges · bothfrom % of charges	$476	$476	—	—	—	$476 – $476
16	MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$633	$633	—	—	—	$633 – $633
17	Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$633	$633	—	—	—	$633 – $633
18	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$793	$793	—	—	—	$793 – $793
19	Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges	$793	$793	—	—	—	$793 – $793
20	Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges	$793	$793	—	—	—	$793 – $793

Last updated: Mar 31, 2026

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See Affinity product, billed per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.