Enverse skin substitute 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 PLACENTA TISS ENVERSE SHEET 2X3CM-COST PER SQ CM

Dublin, OH

See all hospitals reporting HCPCS Q4258 →

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Pricing by billing methodology

Price type

How this price compares nationally

Mount Carmel Dublin’s median price of $272 is 100% above the median hospital's median price ($136), higher than 87% of the 1,076 hospitals reporting HCPCS Q4258. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4258 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	$127	$127	—	—	—	$127 – $127
2	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$204	$204	—	—	—	$204 – $204
3	Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges	$262	$262	—	—	—	$262 – $262
4	Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges	$269	$269	—	—	—	$269 – $269
5	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$272	$272	—	—	—	$272 – $272
6	Medical Mutual medical mutual supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges	$281	$281	—	—	—	$281 – $281
7	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$286	$286	—	—	—	$286 – $286
8	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$295	$295	—	—	—	$295 – $295
9	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$298	$298	—	—	—	$298 – $298
10	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$298	$298	—	—	—	$298 – $298
11	Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges	$303	$303	—	—	—	$303 – $303
12	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$307	$307	—	—	—	$307 – $307
13	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$323	$323	—	—	—	$323 – $323
14	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$327	$327	—	—	—	$327 – $327
15	Oscar oscar facility · percent of total billed charges · bothfrom % of charges	$350	$350	—	—	—	$350 – $350
16	MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$466	$466	—	—	—	$466 – $466
17	Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$466	$466	—	—	—	$466 – $466
18	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
19	Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583
20	Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges	$583	$583	—	—	—	$583 – $583

Last updated: Mar 31, 2026

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