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.
Original text from hospital filings
GRAFT SOFT TISSUE 8CMX4CMX.2-.75MM DERMACELL DERMIS
Augusta, GA
See all hospitals reporting HCPCS Q4122 →Price type
Piedmont Augusta’s median price of $6.2k is 3205% above the median hospital's median price ($186), higher than 94% of the 1,350 hospitals reporting HCPCS Q4122. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 10 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 | Bcbs Sc bcbs south carolina exchange percent of total billed charges · bothfrom % of charges | $2.6k | $2.6k | $1.8k | 69% | — | $425 – $7.3k |
| 2 | Blue Cross Blue Shield blue cross south carolina percent of total billed charges · bothfrom % of charges | $5.0k | $5.0k | $3.5k | 69% | — | $822 – $14.0k |
| 3 | Medcost medcost percent of total billed charges · bothfrom % of charges | $6.3k | $6.4k | $4.4k | 69% | — | $1.0k – $17.8k |
| 4 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $7.0k | $7.1k | $4.9k | 69% | — | $1.2k – $19.7k |
| 5 | Phcs phcs percent of total billed charges · bothfrom % of charges | $7.0k | $7.1k | $4.9k | 69% | — | $1.2k – $19.7k |
| 6 | Cigna cigna percent of total billed charges · bothfrom % of charges | $10.8k | $10.9k | $7.5k | 69% | — | $1.8k – $30.4k |
| 7 | Aetna aetna hmo percent of total billed charges · bothfrom % of charges | $11.3k | $11.5k | $7.4k | 65% | — | $2.5k – $30.4k |
| 8 | Aetna aetna ppo percent of total billed charges · bothfrom % of charges | $11.3k | $11.5k | $7.4k | 65% | — | $2.5k – $30.4k |
| 9 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $11.8k | $11.9k | $8.2k | 69% | — | $1.9k – $33.1k |
| 10 | First Health first health percent of total billed charges · bothfrom % of charges | $13.5k | $13.7k | $9.4k | 69% | — | $2.2k – $38.1k |
Last updated: Jul 1, 2026
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