FlowerAmnioFlo amniotic product, 0.1 cc 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

FLOWERAMNIOFLO 0.1CC

Duluth, GA

See all hospitals reporting HCPCS Q4177 →

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Pricing by billing methodology

Price type

How this price compares nationally

Northside Hospital, Inc.’s median price of $685 is 131% above the median hospital's median price ($297), higher than 93% of the 793 hospitals reporting HCPCS Q4177. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4177 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	Caresource caresource other · outpatient	$137	$137	—	—	—	$137 – $137
2	Cigna cigna healthsprings medicare advantage other · outpatient	$183	$183	—	—	—	$183 – $183
3	Blue Cross Blue Shield bcbs_pathway other · outpatient	$192	$192	—	—	—	$192 – $192
4	Blue Cross Blue Shield bcbs_pathway-l other · outpatient	$192	$192	—	—	—	$192 – $192
5	Blue Cross Blue Shield blue hpn other · outpatient	$297	$297	—	—	—	$297 – $297
6	Blue Cross Blue Shield blue hpn-l other · outpatient	$297	$297	—	—	—	$297 – $297
7	Blue Cross Blue Shield bcbs_hmo other · outpatient	$386	$386	—	—	—	$386 – $386
8	Blue Cross Blue Shield bcbs_hmo-l other · outpatient	$386	$386	—	—	—	$386 – $386
9	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$392	$392	—	—	—	$392 – $392
10	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$392	$392	—	—	—	$392 – $392
11	Blue Cross Blue Shield bcbs_ppo other · outpatient	$457	$457	—	—	—	$457 – $457
12	Blue Cross Blue Shield bcbs_ppo-l other · outpatient	$457	$457	—	—	—	$457 – $457
13	Aetna aetna whole health other · inpatient	$474	$474	—	—	—	$474 – $474
14	Aetna aetna whole health-g other · inpatient	$474	$474	—	—	—	$474 – $474
15	UnitedHealthcare uhc ga individual exchange fee schedule · outpatient	$495	$495	—	—	—	$495 – $495
16	UnitedHealthcare uhc heritage select fee schedule · outpatient	$495	$495	—	—	—	$495 – $495
17	UnitedHealthcare uhc hmo/pos/ppo fee schedule · outpatient	$495	$495	—	—	—	$495 – $495
18	UnitedHealthcare uhc hmo/pos/ppo-g fee schedule · outpatient	$495	$495	—	—	—	$495 – $495
19	UnitedHealthcare uhc hmo/pos/ppo-t fee schedule · outpatient	$495	$495	—	—	—	$495 – $495
20	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$527	$527	—	—	—	$527 – $527
21	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$527	$527	—	—	—	$527 – $527
22	Oscar oscar percent of total billed charges · inpatientfrom % of charges	$527	$527	—	—	—	$527 – $527
23	Oscar oscar percent of total billed charges · outpatientfrom % of charges	$527	$527	—	—	—	$527 – $527
24	Aetna aetna hmo/pos/ppo other · inpatient	$548	$548	—	—	—	$548 – $548
25	Aetna aetna hmo/pos/ppo other · outpatient	$548	$548	—	—	—	$548 – $548

Page 1 of 3 · 70 rates

Last updated: Feb 14, 2026

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