Alloderm skin graft material at Page Hospital

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

ALLDRM FIX INT 8X16/SC

Page, AZ

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Pricing by billing methodology

Price type

How this price compares nationally

Page Hospital’s median price of $72 is 49% below the median hospital's median price ($142), higher than 20% of the 1,693 hospitals reporting HCPCS Q4116. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4116 at Page Hospital

Negotiated rates from the hospital’s own file: 8 payers, 24 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	Humana medicare advantage facility · fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
2	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$38	$39	$4	11%	—	$35 – $46
3	Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges	$56	$58	$6	11%	—	$51 – $68
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$59	$61	$7	11%	—	$54 – $72
5	Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$59	$61	$7	11%	—	$54 – $72
6	Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges	$59	$61	$7	11%	—	$54 – $72
7	Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$59	$61	$7	11%	—	$54 – $72
8	UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$59	$61	$7	11%	—	$54 – $72
9	UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$61	$64	$7	11%	—	$56 – $75
10	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$65	$67	$7	11%	—	$60 – $80
11	Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges	$66	$68	$8	11%	—	$61 – $81
12	Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges	$71	$73	$8	11%	—	$65 – $86
13	Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges	$74	$77	$8	11%	—	$68 – $90
14	Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges	$81	$83	$9	11%	—	$74 – $98
15	Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges	$81	$84	$9	11%	—	$75 – $99
16	Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges	$88	$91	$10	11%	—	$81 – $108
17	Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges	$88	$91	$10	11%	—	$81 – $108
18	Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges	$88	$91	$10	11%	—	$81 – $108
19	Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges	$98	$101	$11	11%	—	$90 – $119
20	Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges	$100	$103	$11	11%	—	$92 – $122
21	Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges	$100	$103	$11	11%	—	$92 – $122
22	Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges	$101	$105	$12	11%	—	$93 – $124
23	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges	$103	$107	$12	11%	—	$95 – $126
24	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges	$103	$107	$12	11%	—	$95 – $126

Last updated: Mar 2, 2026

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