Skin substitute product, not otherwise specified at Samaritan Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TISSUE DERMAGRAFT 2X3IN 37.5SQCM-COST PER SQ CM

Troy, NY

See all hospitals reporting HCPCS Q4431 →

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How this price compares nationally

Samaritan Hospital’s median price of $58 is 63% below the median hospital's median price ($156), higher than 12% of the 402 hospitals reporting HCPCS Q4431. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4431 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 8 payers, 12 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	UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges	$31	$31	—	—	—	$31 – $31
2	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$31	$31	—	—	—	$31 – $31
3	Anthem empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges	$58	$58	—	—	—	$58 – $58
4	Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges	$58	$58	—	—	—	$58 – $58
5	UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges	$58	$58	—	—	—	$58 – $58
6	Wellmark empire bcbs hmo epo ppo indemnity facility · percent of total billed charges · bothfrom % of charges	$58	$58	—	—	—	$58 – $58
7	First Health first health facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
8	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$66	$66	—	—	—	$66 – $66
9	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$70	$70	—	—	—	$70 – $70
10	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$70	$70	—	—	—	$70 – $70
11	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$70	$70	—	—	—	$70 – $70
12	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$77	$77	—	—	—	$77 – $77

Last updated: Mar 31, 2026

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