Amniotic tissue wound graft, per 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-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

MEMBRANE AMNIOBAND 4X6CM 24SQCM -COST PER SQ CM

Columbus, OH

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Pricing by billing methodology

Price type

How this price compares nationally

Mount Carmel East’s median price of $298 is 54% above the median hospital's median price ($193), higher than 72% of the 1,304 hospitals reporting HCPCS Q4151. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4151 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	$124	$125	$24	20%	—	$88 – $166
2	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$199	$201	$39	20%	—	$142 – $268
3	Anthem anthem bcbs pathway hmo facility · percent of total billed charges · bothfrom % of charges	$212	$214	$42	20%	—	$151 – $286
4	Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges	$256	$258	$50	20%	—	$182 – $344
5	Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges	$263	$265	$52	20%	—	$187 – $354
6	Medical Mutual medical mutual oh supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges	$263	$265	$52	20%	—	$187 – $354
7	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$266	$268	$52	20%	—	$189 – $358
8	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$280	$282	$55	20%	—	$199 – $377
9	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$288	$290	$57	20%	—	$205 – $388
10	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$291	$294	$57	20%	—	$207 – $392
11	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$291	$294	$57	20%	—	$207 – $392
12	Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges	$296	$299	$58	20%	—	$210 – $399
13	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$300	$303	$59	20%	—	$213 – $404
14	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$315	$317	$62	20%	—	$224 – $424
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$319	$322	$63	20%	—	$227 – $430
16	Anthem anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$339	$342	$67	20%	—	$241 – $457
17	Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$339	$342	$67	20%	—	$241 – $457
18	Carefirst anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$339	$342	$67	20%	—	$241 – $457
19	Excellus anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$339	$342	$67	20%	—	$241 – $457
20	Highmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$339	$342	$67	20%	—	$241 – $457
21	Premera anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$339	$342	$67	20%	—	$241 – $457
22	Regence anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$339	$342	$67	20%	—	$241 – $457
23	Wellmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$339	$342	$67	20%	—	$241 – $457
24	Oscar oscar facility · percent of total billed charges · bothfrom % of charges	$342	$344	$67	20%	—	$243 – $460
25	Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges	$416	$419	$82	20%	—	$295 – $560

Page 1 of 2 · 32 rates

Last updated: Mar 31, 2026

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