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
GRAFT TISSUE ALLODERM REGEN 16X8CM 4-2.4MM THICK
Columbus, OH
See all hospitals reporting HCPCS Q4116 →Price type
Mount Carmel East’s median price of $64 is 55% below the median hospital's median price ($142), higher than 17% of the 1,693 hospitals reporting HCPCS Q4116. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 21 payers, 33 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 neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges | $53 | $61 | $36 | 58% | — | $1 – $188 |
| 2 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $24 | $116 | $521 | 447% | — | $0 – $3.2k |
| 3 | Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges | $38 | $188 | $840 | 447% | — | $1 – $5.1k |
| 4 | Anthem anthem bcbs pathway hmo facility · percent of total billed charges · bothfrom % of charges | $40 | $200 | $896 | 447% | — | $1 – $5.4k |
| 5 | Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges | $49 | $241 | $1.1k | 447% | — | $1 – $6.5k |
| 6 | Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges | $50 | $248 | $1.1k | 447% | — | $1 – $6.7k |
| 7 | Medical Mutual medical mutual oh supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges | $50 | $248 | $1.1k | 447% | — | $1 – $6.7k |
| 8 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $51 | $251 | $1.1k | 447% | — | $1 – $6.8k |
| 9 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $55 | $272 | $1.2k | 447% | — | $1 – $7.4k |
| 10 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $55 | $274 | $1.2k | 447% | — | $1 – $7.4k |
| 11 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $55 | $274 | $1.2k | 447% | — | $1 – $7.4k |
| 12 | Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges | $56 | $279 | $1.2k | 447% | — | $1 – $7.6k |
| 13 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $57 | $283 | $1.3k | 447% | — | $1 – $7.7k |
| 14 | UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges | $60 | $297 | $1.3k | 447% | — | $1 – $8.0k |
| 15 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $61 | $301 | $1.3k | 447% | — | $1 – $8.1k |
| 16 | Anthem anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges | $65 | $320 | $1.4k | 447% | — | $1 – $8.7k |
| 17 | Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges | $65 | $320 | $1.4k | 447% | — | $1 – $8.7k |
| 18 | Carefirst anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges | $65 | $320 | $1.4k | 447% | — | $1 – $8.7k |
| 19 | Excellus anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges | $65 | $320 | $1.4k | 447% | — | $1 – $8.7k |
| 20 | Highmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges | $65 | $320 | $1.4k | 447% | — | $1 – $8.7k |
| 21 | Premera anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges | $65 | $320 | $1.4k | 447% | — | $1 – $8.7k |
| 22 | Regence anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges | $65 | $320 | $1.4k | 447% | — | $1 – $8.7k |
| 23 | Wellmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges | $65 | $320 | $1.4k | 447% | — | $1 – $8.7k |
| 24 | Oscar oscar facility · percent of total billed charges · bothfrom % of charges | $65 | $322 | $1.4k | 447% | — | $1 – $8.7k |
| 25 | Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges | $79 | $392 | $1.8k | 447% | — | $1 – $10.6k |
Last updated: Mar 31, 2026
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