Affinity product, billed 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-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 AFFINITY FRESH AMNIOTIC 2.5X2.5CM -COST PER SQ CM

Columbus, OH

See all hospitals reporting HCPCS Q4159 →

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Pricing by billing methodology

Price type

How this price compares nationally

Mount Carmel East’s median price of $473 is 33% above the median hospital's median price ($356), higher than 62% of the 1,417 hospitals reporting HCPCS Q4159. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4159 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	$172	$172	—	—	—	$172 – $172
2	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$277	$277	—	—	—	$277 – $277
3	Anthem anthem bcbs pathway hmo facility · percent of total billed charges · bothfrom % of charges	$296	$296	—	—	—	$296 – $296
4	Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges	$356	$356	—	—	—	$356 – $356
5	Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges	$366	$366	—	—	—	$366 – $366
6	Medical Mutual medical mutual oh supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges	$366	$366	—	—	—	$366 – $366
7	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$370	$370	—	—	—	$370 – $370
8	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$389	$389	—	—	—	$389 – $389
9	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$401	$401	—	—	—	$401 – $401
10	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$405	$405	—	—	—	$405 – $405
11	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$405	$405	—	—	—	$405 – $405
12	Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges	$412	$412	—	—	—	$412 – $412
13	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$418	$418	—	—	—	$418 – $418
14	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$438	$438	—	—	—	$438 – $438
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$445	$445	—	—	—	$445 – $445
16	Anthem anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$473	$473	—	—	—	$473 – $473
17	Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$473	$473	—	—	—	$473 – $473
18	Carefirst anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$473	$473	—	—	—	$473 – $473
19	Excellus anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$473	$473	—	—	—	$473 – $473
20	Highmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$473	$473	—	—	—	$473 – $473
21	Premera anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$473	$473	—	—	—	$473 – $473
22	Regence anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$473	$473	—	—	—	$473 – $473
23	Wellmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$473	$473	—	—	—	$473 – $473
24	Oscar oscar facility · percent of total billed charges · bothfrom % of charges	$476	$476	—	—	—	$476 – $476
25	Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges	$579	$579	—	—	—	$579 – $579

Page 1 of 2 · 32 rates

Last updated: Mar 31, 2026

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