Dermapure skin graft material, 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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DERMAPURE PER SQ CM LVL 1

Duluth, GA

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Pricing by billing methodology

Price type

How this price compares nationally

Northside Hospital, Inc.’s median price of $129 is 1% above the median hospital's median price ($127), higher than 52% of the 1,109 hospitals reporting HCPCS Q4152. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4152 at Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 10 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	$34	$34	$15	43%	—	$19 – $49
2	Cigna cigna healthsprings medicare advantage other · outpatient	$45	$45	$20	43%	—	$26 – $65
3	Blue Cross Blue Shield bcbs_pathway other · outpatient	$48	$48	$21	43%	—	$27 – $68
4	Blue Cross Blue Shield bcbs_pathway-l other · outpatient	$48	$48	$21	43%	—	$27 – $68
5	Blue Cross Blue Shield blue hpn other · outpatient	$74	$74	$32	43%	—	$42 – $106
6	Blue Cross Blue Shield blue hpn-l other · outpatient	$74	$74	$32	43%	—	$42 – $106
7	Blue Cross Blue Shield bcbs_hmo other · outpatient	$96	$96	$42	43%	—	$54 – $137
8	Blue Cross Blue Shield bcbs_hmo-l other · outpatient	$96	$96	$42	43%	—	$54 – $137
9	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$97	$97	$42	43%	—	$55 – $140
10	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$97	$97	$42	43%	—	$55 – $140
11	Blue Cross Blue Shield bcbs_ppo other · outpatient	$113	$113	$49	43%	—	$64 – $163
12	Blue Cross Blue Shield bcbs_ppo-l other · outpatient	$113	$113	$49	43%	—	$64 – $163
13	UnitedHealthcare uhc ga individual exchange fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
14	UnitedHealthcare uhc heritage select fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
15	UnitedHealthcare uhc hmo/pos/ppo fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
16	UnitedHealthcare uhc hmo/pos/ppo-g fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
17	UnitedHealthcare uhc hmo/pos/ppo-t fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
18	Tricare tricare fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
19	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$131	$131	$57	43%	—	$74 – $188
20	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$131	$131	$57	43%	—	$74 – $188
21	Oscar oscar percent of total billed charges · inpatientfrom % of charges	$131	$131	$57	43%	—	$74 – $188
22	Oscar oscar percent of total billed charges · outpatientfrom % of charges	$131	$131	$57	43%	—	$74 – $188
23	Aetna aetna hmo/pos/ppo fee schedule · outpatient	$156	$156	$8	5%	—	$148 – $165
24	Aetna aetna hmo/pos/ppo-g fee schedule · outpatient	$156	$156	$8	5%	—	$148 – $165
25	Aetna aetna hmo/pos/ppo-q fee schedule · outpatient	$156	$156	$8	5%	—	$148 – $165

Page 1 of 3 · 65 rates

Last updated: Feb 14, 2026

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