Cymetra allograft kit, 2 cc (not in use) at Northside Hospital, Inc.

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CYMETRA-PER 1 CC

Duluth, GA

See all hospitals reporting HCPCS Q4112 →

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Pricing by billing methodology

Price type

How this price compares nationally

Northside Hospital, Inc.’s median price of $679 is 30% below the median hospital's median price ($963), higher than 24% of the 785 hospitals reporting HCPCS Q4112. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4112 at Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 9 payers, 65 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	Caresource caresource other · outpatient	$136	$136	—	—	—	$136 – $136
2	Cigna cigna healthsprings medicare advantage other · outpatient	$181	$181	—	—	—	$181 – $181
3	Blue Cross Blue Shield bcbs_pathway other · outpatient	$190	$190	—	—	—	$190 – $190
4	Blue Cross Blue Shield bcbs_pathway-l other · outpatient	$190	$190	—	—	—	$190 – $190
5	Blue Cross Blue Shield blue hpn other · outpatient	$294	$294	—	—	—	$294 – $294
6	Blue Cross Blue Shield blue hpn-l other · outpatient	$294	$294	—	—	—	$294 – $294
7	Blue Cross Blue Shield bcbs_hmo other · outpatient	$382	$382	—	—	—	$382 – $382
8	Blue Cross Blue Shield bcbs_hmo-l other · outpatient	$382	$382	—	—	—	$382 – $382
9	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$388	$388	—	—	—	$388 – $388
10	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$388	$388	—	—	—	$388 – $388
11	Blue Cross Blue Shield bcbs_ppo other · outpatient	$453	$453	—	—	—	$453 – $453
12	Blue Cross Blue Shield bcbs_ppo-l other · outpatient	$453	$453	—	—	—	$453 – $453
13	Aetna aetna whole health other · inpatient	$470	$470	—	—	—	$470 – $470
14	Aetna aetna whole health-g other · inpatient	$470	$470	—	—	—	$470 – $470
15	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$522	$522	—	—	—	$522 – $522
16	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$522	$522	—	—	—	$522 – $522
17	Oscar oscar percent of total billed charges · inpatientfrom % of charges	$522	$522	—	—	—	$522 – $522
18	Oscar oscar percent of total billed charges · outpatientfrom % of charges	$522	$522	—	—	—	$522 – $522
19	Aetna aetna hmo/pos/ppo other · inpatient	$543	$543	—	—	—	$543 – $543
20	Aetna aetna hmo/pos/ppo other · outpatient	$543	$543	—	—	—	$543 – $543
21	Aetna aetna hmo/pos/ppo-g other · inpatient	$543	$543	—	—	—	$543 – $543
22	Aetna aetna hmo/pos/ppo-g other · outpatient	$543	$543	—	—	—	$543 – $543
23	Aetna aetna hmo/pos/ppo-q other · inpatient	$543	$543	—	—	—	$543 – $543
24	Aetna aetna hmo/pos/ppo-q other · outpatient	$543	$543	—	—	—	$543 – $543
25	Cigna cigna other · outpatient	$658	$658	—	—	—	$658 – $658

Page 1 of 3 · 65 rates

Last updated: Feb 14, 2026

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