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
GRAFTJACKET 4 X 8CM ( IMPLANT QTY = 32CM ) - GJ48
Utica, NY
See all hospitals reporting HCPCS Q4107 →Price type
MVHS, Inc.’s median price of $423 is 96% above the median hospital's median price ($216), higher than 68% of the 1,589 hospitals reporting HCPCS Q4107. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 8 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 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $249 | $248 | $16 | 7% | — | $224 – $270 |
| 2 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $370 | $369 | $24 | 7% | — | $334 – $403 |
| 3 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $423 | $422 | $28 | 7% | — | $382 – $460 |
| 4 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $423 | $422 | $28 | 7% | — | $382 – $460 |
| 5 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $423 | $422 | $28 | 7% | — | $382 – $460 |
| 6 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $423 | $422 | $28 | 7% | — | $382 – $460 |
| 7 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $454 | $452 | $30 | 7% | — | $409 – $493 |
| 8 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $466 | $465 | $31 | 7% | — | $420 – $507 |
Last updated: Aug 7, 2026
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