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
ALLOPATCH HD XTHCK 4-5MM 5X5CM
Quitman, MS
See all hospitals reporting HCPCS Q4128 →Price type
Rush Medical Foundation’s median price of $5.7k is 4183% above the median hospital's median price ($133), higher than 92% of the 1,539 hospitals reporting HCPCS Q4128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 14 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 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $4.0k | $5.9k | $4.6k | 78% | — | $337 – $15.0k |
| 2 | Cigna all payor other · outpatient | $4.7k | $7.0k | $5.4k | 78% | — | $402 – $17.8k |
| 3 | Cigna Healthspring all payor other · outpatient | $4.9k | $7.3k | $5.6k | 78% | — | $418 – $18.6k |
| 4 | Humana all payor other · outpatient | $4.9k | $7.3k | $5.6k | 78% | — | $418 – $18.6k |
| 5 | Optum all payor other · outpatient | $4.9k | $7.3k | $5.6k | 78% | — | $418 – $18.6k |
| 6 | UnitedHealthcare all payor other · outpatient | $4.9k | $7.3k | $5.6k | 78% | — | $418 – $18.6k |
| 7 | Ambetter all payor other · outpatient | $5.0k | $7.3k | $5.7k | 78% | — | $422 – $18.8k |
| 8 | Molina all payor other · outpatient | $5.0k | $7.3k | $5.7k | 78% | — | $422 – $18.8k |
| 9 | WellCare all payor other · outpatient | $5.0k | $7.3k | $5.7k | 78% | — | $422 – $18.8k |
| 10 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $5.5k | $8.1k | $6.3k | 78% | — | $469 – $20.8k |
| 11 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $5.5k | $8.1k | $6.3k | 78% | — | $469 – $20.8k |
| 12 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $6.4k | $9.4k | $7.3k | 78% | — | $541 – $24.0k |
| 13 | Bcbs Ms all payor other · outpatient | $6.8k | $10.0k | $7.8k | 78% | — | $577 – $25.6k |
| 14 | MultiPlan all payor other · inpatient | $7.2k | $10.7k | $8.3k | 78% | — | $613 – $27.2k |
Last updated: Apr 1, 2026
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