Donor skin tissue graft (Arthroflex) 5x20x30mm at Mount Carmel East

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

GRAFT SKIN THICK 40X30MM 12SQCM -COST PER SQ CM

Columbus, OH

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Pricing by billing methodology

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How this price compares nationally

Mount Carmel East’s median price of $251 is 58% below the median hospital's median price ($603), higher than 34% of the 1,317 hospitals reporting HCPCS Q4125. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4125 at Mount Carmel East

Negotiated rates from the hospital’s own file: 21 payers, 32 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	$107	$103	$46	45%	—	$6 – $195
2	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$173	$167	$75	45%	—	$10 – $315
3	Anthem anthem bcbs pathway hmo facility · percent of total billed charges · bothfrom % of charges	$185	$178	$80	45%	—	$11 – $336
4	Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges	$229	$220	$99	45%	—	$14 – $416
5	Medical Mutual medical mutual oh supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges	$229	$220	$99	45%	—	$14 – $416
6	Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges	$257	$248	$111	45%	—	$15 – $468
7	Anthem anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$295	$284	$127	45%	—	$18 – $536
8	Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$295	$284	$127	45%	—	$18 – $536
9	Carefirst anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$295	$284	$127	45%	—	$18 – $536
10	Excellus anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$295	$284	$127	45%	—	$18 – $536
11	Highmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$295	$284	$127	45%	—	$18 – $536
12	Premera anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$295	$284	$127	45%	—	$18 – $536
13	Regence anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$295	$284	$127	45%	—	$18 – $536
14	Wellmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$295	$284	$127	45%	—	$18 – $536
15	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$247	$407	$676	166%	—	$15 – $3.0k
16	Oscar oscar facility · percent of total billed charges · bothfrom % of charges	$302	$462	$694	150%	—	$18 – $3.1k
17	Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges	$226	$501	$1.1k	223%	—	$13 – $4.8k
18	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$235	$521	$1.2k	223%	—	$14 – $5.0k
19	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$255	$565	$1.3k	223%	—	$15 – $5.4k
20	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$257	$571	$1.3k	223%	—	$15 – $5.5k
21	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$257	$571	$1.3k	223%	—	$15 – $5.5k
22	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$265	$588	$1.3k	223%	—	$16 – $5.6k
23	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$278	$617	$1.4k	223%	—	$16 – $5.9k
24	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$282	$626	$1.4k	223%	—	$17 – $6.0k
25	Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges	$368	$815	$1.8k	223%	—	$22 – $7.8k

Page 1 of 2 · 32 rates

Last updated: Mar 31, 2026

Compare to other hospitals

See Donor skin tissue graft (Arthroflex) 5x20x30mm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.