Theraskin skin substitute, per square centimeter at Progress West 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.

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Provider: anthropic
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Max output tokens: 4096
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Generated: October 20, 2026

Original text from hospital filings

HC Theraskin 3ts 1.75 Cm X 1.75 Cm per Sq Cm

O'Fallon, MO

See all hospitals reporting HCPCS Q4121 →

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Pricing by billing methodology

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How this price compares nationally

Progress West Hospital’s median price of $125 is 4% below the median hospital's median price ($130), higher than 45% of the 1,609 hospitals reporting HCPCS Q4121. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4121 at Progress West Hospital

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	$84	$159	$151	95%	—	$53 – $510
9	Cigna bjc hb cigna local plus community percent of total billed charges · bothfrom % of charges	$84	$159	$151	95%	—	$53 – $510
10	Cigna bjc hb cigna special community percent of total billed charges · bothfrom % of charges	$84	$159	$151	95%	—	$53 – $510
11	Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges	$90	$170	$161	95%	—	$57 – $546
12	Blue Cross Blue Shield bjc hb anthem choice community percent of total billed charges · bothfrom % of charges	$105	$200	$189	95%	—	$67 – $641
13	Blue Cross Blue Shield bjc hb anthem access community percent of total billed charges · bothfrom % of charges	$107	$202	$192	95%	—	$67 – $649
14	Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges	$120	$228	$215	95%	—	$76 – $729
15	Aetna bjc hb first health percent of total billed charges · bothfrom % of charges	$120	$228	$215	95%	—	$76 – $729
16	First Health bjc hb first health percent of total billed charges · bothfrom % of charges	$120	$228	$215	95%	—	$76 – $729
17	UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges	$120	$228	$215	95%	—	$76 – $729
18	Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges	$121	$230	$217	95%	—	$76 – $736
19	Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges	$121	$230	$217	95%	—	$76 – $736
20	MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges	$121	$230	$217	95%	—	$76 – $736
21	Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges	$121	$230	$217	95%	—	$76 – $736
22	Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$129	$245	$232	95%	—	$82 – $785
23	Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$129	$245	$232	95%	—	$82 – $785
24	Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges	$137	$260	$246	95%	—	$87 – $834
25	Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges	$137	$260	$246	95%	—	$87 – $834

Page 1 of 2 · 27 rates

Last updated: Dec 15, 2025

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