Amniotic tissue wound graft, per square centimeter at Sebasticook Valley Health

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Amnioband guardian 1 sq cm

Pittsfield, ME

See all hospitals reporting HCPCS Q4151 →

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Pricing by billing methodology

Price type

How this price compares nationally

Sebasticook Valley Health’s median price of $140 is 27% below the median hospital's median price ($192), higher than 27% of the 1,308 hospitals reporting HCPCS Q4151. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4151 at Sebasticook Valley Health

Negotiated rates from the hospital’s own file: 5 payers, 23 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	Aetna mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
2	Anthem mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
3	UnitedHealthcare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
4	WellCare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
5	Anthem commercial professional · fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
6	Anthem enhanced pathways professional · fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
7	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$135	$135	—	—	—	$135 – $135
8	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$135	$135	—	—	—	$135 – $135
9	Anthem enhanced pathways facility · percent of total billed charges · inpatientfrom % of charges	$135	$135	—	—	—	$135 – $135
10	Anthem enhanced pathways facility · percent of total billed charges · outpatientfrom % of charges	$135	$135	—	—	—	$135 – $135
11	Aetna mcr advantage professional · fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
12	Anthem mcr advantage professional · fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
13	UnitedHealthcare mcr advantage professional · fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
14	WellCare mcr advantage professional · fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
15	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$140	$140	—	—	—	$140 – $140
16	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$151	$151	—	—	—	$151 – $151
17	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
18	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
19	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
20	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$157	$157	—	—	—	$157 – $157
21	Aetna commercial professional · fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
22	UnitedHealthcare commercial professional · fee schedule · outpatient	$240	$240	—	—	—	$240 – $240
23	Cigna commercial professional · fee schedule · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k

Last updated: Mar 30, 2026

Compare to other hospitals

See Amniotic tissue wound graft, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.