MATRIX TISSUE PRIMATRIX FETAL BOVINE DERMIS DISC DERMAL REPAIR SCAFFOLD MESH STERILE LATEX FREE at Quitman Hospital, LLC

Quitman, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Quitman Hospital, LLC’s median price of $348 is 153% above the median hospital's median price ($138), higher than 78% of the 1,570 hospitals reporting HCPCS Q4110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4110 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	$180	$183	$37	20%	—	$135 – $236
2	Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges	$180	$183	$37	20%	—	$135 – $236
3	Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges	$180	$183	$37	20%	—	$135 – $236
4	Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges	$180	$183	$37	20%	—	$135 – $236
5	Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges	$180	$183	$37	20%	—	$135 – $236
6	Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges	$180	$183	$37	20%	—	$135 – $236
7	WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges	$180	$183	$37	20%	—	$135 – $236
8	Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges	$183	$186	$38	20%	—	$138 – $241
9	UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges	$183	$186	$38	20%	—	$138 – $241
10	Ambetter ambetter [293000] facility · percent of total billed charges · bothfrom % of charges	$206	$209	$43	20%	—	$155 – $270
11	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$321	$326	$66	20%	—	$242 – $421
12	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$321	$326	$66	20%	—	$242 – $421
13	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$321	$326	$66	20%	—	$242 – $421
14	UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges	$642	$653	$133	20%	—	$484 – $843
15	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$642	$653	$133	20%	—	$484 – $843
16	UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges	$642	$653	$133	20%	—	$484 – $843
17	Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges	$861	$875	$178	20%	—	$648 – $1.1k
18	Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges	$861	$875	$178	20%	—	$648 – $1.1k
19	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$861	$875	$178	20%	—	$648 – $1.1k

Last updated: Feb 12, 2026

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