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
THERASKIN 1" X 1" - 100TSXS
Utica, NY
See all hospitals reporting HCPCS Q4121 →Price type
MVHS, Inc.’s median price of $3.9k is 2882% above the median hospital's median price ($130), higher than 97% of the 1,620 hospitals reporting HCPCS Q4121. 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 commercial percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $100 | 5% | — | $1.8k – $2.0k |
| 2 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | $133 | 5% | — | $2.3k – $2.6k |
| 3 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $3.7k | $3.7k | $199 | 5% | — | $3.5k – $3.9k |
| 4 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $4.2k | $4.2k | $227 | 5% | — | $4.0k – $4.4k |
| 5 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $4.2k | $4.2k | $227 | 5% | — | $4.0k – $4.4k |
| 6 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $4.2k | $4.2k | $227 | 5% | — | $4.0k – $4.4k |
| 7 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $4.2k | $4.2k | $227 | 5% | — | $4.0k – $4.4k |
| 8 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $4.6k | $4.6k | $250 | 5% | — | $4.4k – $4.9k |
Last updated: Aug 7, 2026
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