TISSUE PRIMATRIX 6X6 AG SOLID-Q4110-COST PER SQ CM at Samaritan Hospital

Troy, NY

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Pricing by billing methodology

Price type

How this price compares nationally

Samaritan Hospital’s median price of $85 is 38% below the median hospital's median price ($137), higher than 18% of the 1,579 hospitals reporting HCPCS Q4110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4110 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 12 payers, 17 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	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$90	$107	$77	72%	—	$3 – $354
2	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$27	$275	$827	301%	—	$1 – $3.2k
3	UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges	$43	$440	$1.3k	301%	—	$2 – $5.1k
4	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$43	$440	$1.3k	301%	—	$2 – $5.1k
5	Excellus blue shield of ne new york medicare adv facility · percent of total billed charges · bothfrom % of charges	$53	$550	$1.7k	301%	—	$2 – $6.3k
6	Highmark blue shield of ne new york medicare adv facility · percent of total billed charges · bothfrom % of charges	$53	$550	$1.7k	301%	—	$2 – $6.3k
7	Anthem empire bcbs blue access facility · percent of total billed charges · bothfrom % of charges	$80	$826	$2.5k	301%	—	$3 – $9.5k
8	Anthem empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges	$80	$826	$2.5k	301%	—	$3 – $9.5k
9	Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges	$80	$826	$2.5k	301%	—	$3 – $9.5k
10	UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges	$80	$826	$2.5k	301%	—	$3 – $9.5k
11	WellCare wellcare ep 1&2 medicaid facility · percent of total billed charges · bothfrom % of charges	$80	$826	$2.5k	301%	—	$3 – $9.5k
12	Wellmark empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges	$80	$826	$2.5k	301%	—	$3 – $9.5k
13	First Health first health facility · percent of total billed charges · bothfrom % of charges	$86	$881	$2.6k	301%	—	$3 – $10.1k
14	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$96	$991	$3.0k	301%	—	$4 – $11.4k
15	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$96	$991	$3.0k	301%	—	$4 – $11.4k
16	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$96	$991	$3.0k	301%	—	$4 – $11.4k
17	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$107	$1.1k	$3.3k	301%	—	$4 – $12.6k

Last updated: Mar 31, 2026

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