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
HC Graft 8600-2x04 Skin 4cmx2cmx.
O'Fallon, MO
See all hospitals reporting HCPCS Q4107 →Price type
Progress West Hospital’s median price of $311 is 44% above the median hospital's median price ($216), higher than 62% of the 1,583 hospitals reporting HCPCS Q4107. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 27 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 | Aetna bjc hb medicare advantra pwc other · both | $125 | $125 | — | — | — | $125 – $125 |
| 2 | Aetna bjc hb medicare gold advantage pwc other · both | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Blue Cross Blue Shield bjc hb medicare anthem advantage pwc other · both | $125 | $125 | — | — | — | $125 – $125 |
| 4 | Humana bjc hb medicare humana pwc other · both | $125 | $125 | — | — | — | $125 – $125 |
| 5 | UnitedHealthcare bjc hb medicare uhc pwc other · both | $125 | $125 | — | — | — | $125 – $125 |
| 6 | Devoted bjc hb medicare devoted pwc other · both | $131 | $131 | — | — | — | $131 – $131 |
| 7 | Medica bjc hb medicare wellfirst pwc other · both | $131 | $131 | — | — | — | $131 – $131 |
| 8 | Cigna bjc hb cigna hmo/ppo community percent of total billed charges · bothfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 9 | Cigna bjc hb cigna local plus community percent of total billed charges · bothfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 10 | Cigna bjc hb cigna special community percent of total billed charges · bothfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 11 | Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 12 | Blue Cross Blue Shield bjc hb anthem choice community percent of total billed charges · bothfrom % of charges | $312 | $312 | — | — | — | $312 – $312 |
| 13 | Blue Cross Blue Shield bjc hb anthem access community percent of total billed charges · bothfrom % of charges | $316 | $316 | — | — | — | $316 – $316 |
| 14 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $355 | $355 | — | — | — | $355 – $355 |
| 15 | Aetna bjc hb first health percent of total billed charges · bothfrom % of charges | $355 | $355 | — | — | — | $355 – $355 |
| 16 | First Health bjc hb first health percent of total billed charges · bothfrom % of charges | $355 | $355 | — | — | — | $355 – $355 |
| 17 | UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges | $355 | $355 | — | — | — | $355 – $355 |
| 18 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $358 | $358 | — | — | — | $358 – $358 |
| 19 | Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges | $358 | $358 | — | — | — | $358 – $358 |
| 20 | MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges | $358 | $358 | — | — | — | $358 – $358 |
| 21 | Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges | $358 | $358 | — | — | — | $358 – $358 |
| 22 | Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $382 | $382 | — | — | — | $382 – $382 |
| 23 | Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $382 | $382 | — | — | — | $382 – $382 |
| 24 | Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges | $406 | $406 | — | — | — | $406 – $406 |
| 25 | Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges | $406 | $406 | — | — | — | $406 – $406 |
Last updated: Dec 15, 2025
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