BioDFence DryFlex graft product, per square centimeter 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

BIODFENCE DRYFLEX PER SQ CM

Duluth, GA

See all hospitals reporting HCPCS Q4138 →

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Pricing by billing methodology

Price type

How this price compares nationally

Northside Hospital, Inc.’s median price of $1.1k is 619% above the median hospital's median price ($152), higher than 95% of the 949 hospitals reporting HCPCS Q4138. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4138 at Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 70 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	Tricare tricare fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
2	Caresource caresource other · outpatient	$222	$222	—	—	—	$222 – $222
3	UnitedHealthcare uhc ga individual exchange fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
4	UnitedHealthcare uhc heritage select fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
5	UnitedHealthcare uhc hmo/pos/ppo fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
6	UnitedHealthcare uhc hmo/pos/ppo-g fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
7	UnitedHealthcare uhc hmo/pos/ppo-t fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
8	Cigna cigna healthsprings medicare advantage other · outpatient	$296	$296	—	—	—	$296 – $296
9	Blue Cross Blue Shield bcbs_pathway other · outpatient	$311	$311	—	—	—	$311 – $311
10	Blue Cross Blue Shield bcbs_pathway-l other · outpatient	$311	$311	—	—	—	$311 – $311
11	Aetna aetna hmo/pos/ppo fee schedule · outpatient	$319	$319	—	—	—	$319 – $319
12	Aetna aetna hmo/pos/ppo-g fee schedule · outpatient	$319	$319	—	—	—	$319 – $319
13	Aetna aetna hmo/pos/ppo-q fee schedule · outpatient	$319	$319	—	—	—	$319 – $319
14	Blue Cross Blue Shield blue hpn other · outpatient	$481	$481	—	—	—	$481 – $481
15	Blue Cross Blue Shield blue hpn-l other · outpatient	$481	$481	—	—	—	$481 – $481
16	Blue Cross Blue Shield bcbs_hmo other · outpatient	$625	$625	—	—	—	$625 – $625
17	Blue Cross Blue Shield bcbs_hmo-l other · outpatient	$625	$625	—	—	—	$625 – $625
18	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$635	$635	—	—	—	$635 – $635
19	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$635	$635	—	—	—	$635 – $635
20	Blue Cross Blue Shield bcbs_ppo other · outpatient	$741	$741	—	—	—	$741 – $741
21	Blue Cross Blue Shield bcbs_ppo-l other · outpatient	$741	$741	—	—	—	$741 – $741
22	Aetna aetna whole health other · inpatient	$768	$768	—	—	—	$768 – $768
23	Aetna aetna whole health-g other · inpatient	$768	$768	—	—	—	$768 – $768
24	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$854	$854	—	—	—	$854 – $854
25	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$854	$854	—	—	—	$854 – $854

Page 1 of 3 · 70 rates

Last updated: Feb 14, 2026

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