NeoX 1K skin substitute, one square centimeter 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-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 AMNIO HMN 4X3CM 1MM -COST PER SQ CM

Columbus, OH

See all hospitals reporting HCPCS Q4148 →

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Pricing by billing methodology

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How this price compares nationally

Mount Carmel East’s median price of $253 is 21% above the median hospital's median price ($210), higher than 61% of the 1,256 hospitals reporting HCPCS Q4148. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4148 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	$99	$99	$7	7%	—	$92 – $107
2	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$160	$160	$12	7%	—	$149 – $172
3	Anthem anthem bcbs pathway hmo facility · percent of total billed charges · bothfrom % of charges	$171	$171	$12	7%	—	$159 – $183
4	Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges	$206	$206	$15	7%	—	$191 – $221
5	Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges	$212	$212	$15	7%	—	$196 – $227
6	Medical Mutual medical mutual oh supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges	$212	$212	$15	7%	—	$196 – $227
7	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$214	$214	$16	7%	—	$198 – $230
8	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$225	$225	$16	7%	—	$209 – $241
9	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$232	$232	$17	7%	—	$215 – $249
10	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$234	$234	$17	7%	—	$217 – $251
11	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$234	$234	$17	7%	—	$217 – $251
12	Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges	$238	$238	$17	7%	—	$221 – $256
13	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$242	$242	$18	7%	—	$224 – $259
14	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$253	$253	$18	7%	—	$235 – $272
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$257	$257	$19	7%	—	$238 – $276
16	Anthem anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$273	$273	$20	7%	—	$253 – $293
17	Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$273	$273	$20	7%	—	$253 – $293
18	Carefirst anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$273	$273	$20	7%	—	$253 – $293
19	Excellus anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$273	$273	$20	7%	—	$253 – $293
20	Highmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$273	$273	$20	7%	—	$253 – $293
21	Premera anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$273	$273	$20	7%	—	$253 – $293
22	Regence anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$273	$273	$20	7%	—	$253 – $293
23	Wellmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$273	$273	$20	7%	—	$253 – $293
24	Oscar oscar facility · percent of total billed charges · bothfrom % of charges	$275	$275	$20	7%	—	$255 – $295
25	Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges	$335	$335	$24	7%	—	$310 – $359

Page 1 of 2 · 32 rates

Last updated: Mar 31, 2026

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