HC Apligraf per Sq Cm at Quitman Hospital, LLC

Quitman, TX

See all hospitals reporting HCPCS Q4101 →

Pricing by billing methodology

Price type

How this price compares nationally

Quitman Hospital, LLC’s median price of $39 is 68% below the median hospital's median price ($120), higher than 12% of the 1,906 hospitals reporting HCPCS Q4101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4101 at Quitman Hospital, LLC

Negotiated rates from the hospital’s own file: 10 payers, 19 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	Blue Cross Blue Shield blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
2	Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
3	Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
4	Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
5	Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
6	Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
7	WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
8	Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
9	UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
10	Ambetter ambetter [293000] facility · percent of total billed charges · bothfrom % of charges	$25	$25	—	—	—	$25 – $25
11	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$39	$39	—	—	—	$39 – $39
12	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$39	$39	—	—	—	$39 – $39
13	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$39	$39	—	—	—	$39 – $39
14	UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges	$78	$78	—	—	—	$78 – $78
15	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$78	$78	—	—	—	$78 – $78
16	UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges	$78	$78	—	—	—	$78 – $78
17	Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges	$105	$105	—	—	—	$105 – $105
18	Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges	$105	$105	—	—	—	$105 – $105
19	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$105	$105	—	—	—	$105 – $105

Last updated: Feb 12, 2026

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