Epicord surgical tissue patch, 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

GRAFT EPICORD 1X2CM-COST PER SQ CM

Columbus, OH

See all hospitals reporting HCPCS Q4187 →

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Pricing by billing methodology

Price type

How this price compares nationally

Mount Carmel East’s median price of $511 is 63% above the median hospital's median price ($313), higher than 71% of the 1,440 hospitals reporting HCPCS Q4187. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4187 at Mount Carmel East

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 medicare advantage facility · percent of total billed charges · bothfrom % of charges	$186	$253	$95	38%	—	$186 – $388
2	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$300	$408	$153	38%	—	$300 – $625
3	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$421	$421	$0	0%	—	$421 – $421
4	Anthem anthem bcbs pathway hmo facility · percent of total billed charges · bothfrom % of charges	$320	$435	$163	38%	—	$320 – $666
5	Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges	$385	$524	$197	38%	—	$385 – $802
6	Medical Mutual medical mutual medflex facility · percent of total billed charges · bothfrom % of charges	$396	$539	$202	38%	—	$396 – $825
7	Medical Mutual medical mutual oh supermed ppo pos hmo facility · percent of total billed charges · bothfrom % of charges	$396	$539	$202	38%	—	$396 – $825
8	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$400	$545	$204	38%	—	$400 – $834
9	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$434	$590	$222	38%	—	$434 – $904
10	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$438	$597	$224	38%	—	$438 – $913
11	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$438	$597	$224	38%	—	$438 – $913
12	Anthem anthem bcbs pathway grp hmo facility · percent of total billed charges · bothfrom % of charges	$446	$607	$228	38%	—	$446 – $929
13	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$452	$615	$231	38%	—	$452 – $941
14	UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges	$474	$645	$242	38%	—	$474 – $988
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$481	$654	$246	38%	—	$481 – $1.0k
16	Anthem anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$511	$695	$261	38%	—	$511 – $1.1k
17	Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$511	$695	$261	38%	—	$511 – $1.1k
18	Carefirst anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$511	$695	$261	38%	—	$511 – $1.1k
19	Excellus anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$511	$695	$261	38%	—	$511 – $1.1k
20	Highmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$511	$695	$261	38%	—	$511 – $1.1k
21	Premera anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$511	$695	$261	38%	—	$511 – $1.1k
22	Regence anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$511	$695	$261	38%	—	$511 – $1.1k
23	Wellmark anthem blue access ppo blue pref hmo facility · percent of total billed charges · bothfrom % of charges	$511	$695	$261	38%	—	$511 – $1.1k
24	Oscar oscar facility · percent of total billed charges · bothfrom % of charges	$514	$700	$263	38%	—	$514 – $1.1k
25	Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges	$626	$852	$320	38%	—	$626 – $1.3k

Page 1 of 2 · 33 rates

Last updated: Mar 31, 2026

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