Skin substitute graft per square centimeter at Overlook Medical Center

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

SKINTE / PER 1SQCM TBU=VARIABLE

Summit, NJ

See all hospitals reporting HCPCS Q4200 →

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Pricing by billing methodology

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How this price compares nationally

Overlook Medical Center’s median price of $216 is 63% above the median hospital's median price ($133), higher than 73% of the 542 hospitals reporting HCPCS Q4200. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4200 at Overlook Medical Center

Negotiated rates from the hospital’s own file: 12 payers, 18 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	Anthem omc medicaid percent of total billed charges · bothfrom % of charges	$68	$68	—	—	—	$68 – $68
2	Medicaid omc medicaid percent of total billed charges · bothfrom % of charges	$68	$68	—	—	—	$68 – $68
3	Cigna omc cigna ppo percent of total billed charges · bothfrom % of charges	$79	$79	—	—	—	$79 – $79
4	Cigna omc cigna oap percent of total billed charges · bothfrom % of charges	$80	$80	—	—	—	$80 – $80
5	Aetna Better Health omc aetna better health percent of total billed charges · bothfrom % of charges	$81	$81	—	—	—	$81 – $81
6	Humana omc qualcare percent of total billed charges · bothfrom % of charges	$138	$138	—	—	—	$138 – $138
7	Oscar omc qualcare percent of total billed charges · bothfrom % of charges	$138	$138	—	—	—	$138 – $138
8	Kaiser phcs primary network percent of total billed charges · bothfrom % of charges	$216	$216	—	—	—	$216 – $216
9	Phcs phcs primary network percent of total billed charges · bothfrom % of charges	$216	$216	—	—	—	$216 – $216
10	Cigna omc cigna local plus percent of total billed charges · bothfrom % of charges	$223	$223	—	—	—	$223 – $223
11	Aetna omc aetna percent of total billed charges · bothfrom % of charges	$236	$236	—	—	—	$236 – $236
12	Aetna omc aetna whole health percent of total billed charges · bothfrom % of charges	$236	$236	—	—	—	$236 – $236
13	Blue Cross Blue Shield omc horizon omnia percent of total billed charges · bothfrom % of charges	$251	$251	—	—	—	$251 – $251
14	First Health first health percent of total billed charges · bothfrom % of charges	$256	$256	—	—	—	$256 – $256
15	Blue Cross Blue Shield omc horizon commercial percent of total billed charges · bothfrom % of charges	$272	$272	—	—	—	$272 – $272
16	MultiPlan multiplan complementary network percent of total billed charges · bothfrom % of charges	$276	$276	—	—	—	$276 – $276
17	Anthem omc empire bcbsny hmo ppo percent of total billed charges · bothfrom % of charges	$315	$315	—	—	—	$315 – $315
18	Anthem omc empire bcbsny indemn percent of total billed charges · bothfrom % of charges	$335	$335	—	—	—	$335 – $335

Last updated: Apr 1, 2026

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