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.
Original text from hospital filings
Surgigraft, 1 sq cm
Grayling, MI
See all hospitals reporting HCPCS Q4183 →Price type
Munson Healthcare Grayling’s median price of $116 is 27% below the median hospital's median price ($160), higher than 24% of the 859 hospitals reporting HCPCS Q4183. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 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 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 2 | Molina managed medicaid facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 3 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 4 | Cigna commercial facility · fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 5 | Aetna commercial professional · fee schedule · both | $88 | $88 | — | — | — | $88 – $88 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $116 | $116 | — | — | — | $116 – $116 |
| 7 | Humana medicare advantage professional · fee schedule · both | $116 | $116 | — | — | — | $116 – $116 |
| 8 | Molina medicare advantage professional · fee schedule · both | $116 | $116 | — | — | — | $116 – $116 |
| 9 | WellCare medicare advantage professional · fee schedule · both | $116 | $116 | — | — | — | $116 – $116 |
| 10 | Aetna medicare advantage facility · fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 11 | Humana medicare advantage facility · fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 12 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 13 | WellCare medicare advantage facility · fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 14 | Molina medicare advantage facility · fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 15 | UnitedHealthcare commercial professional · fee schedule · both | $161 | $161 | — | — | — | $161 – $161 |
| 16 | UnitedHealthcare medicare advantage professional · fee schedule · both | $161 | $161 | — | — | — | $161 – $161 |
Last updated: Apr 17, 2026
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