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
ARTHROFLEX; PER SQUARE CENTIMETER
Springfield, OR
See all hospitals reporting HCPCS Q4125 →Price type
Sacred Heart-Riverbend’s median price of $139 is 77% below the median hospital's median price ($603), higher than 19% of the 1,317 hospitals reporting HCPCS Q4125. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 8 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 | Regence medicare advantage hmo facility · other · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 2 | Regence medicare advantage ppo facility · other · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 3 | Kaiser medicare advantage facility · other · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 4 | UnitedHealthcare medicare payer appendix facility · other · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 5 | WellCare medicare advantage facility · other · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 6 | Regence commercial facility · other · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 7 | UnitedHealthcare doctors plan facility · other · outpatient | $491 | $491 | — | — | — | $491 – $491 |
| 8 | UnitedHealthcare all payer appendix facility · other · outpatient | $558 | $558 | — | — | — | $558 – $558 |
Last updated: Mar 20, 2026
See Donor skin tissue graft (Arthroflex) 5x20x30mm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.