HC Tissue Apligraf at Shannon River Crest Hospital

San Angelo, TX

See all hospitals reporting HCPCS Q4101 →

Pricing by billing methodology

Price type

How this price compares nationally

Shannon River Crest Hospital’s median price of $365 is 203% above the median hospital's median price ($120), higher than 83% of the 1,906 hospitals reporting HCPCS Q4101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4101 at Shannon River Crest Hospital

Negotiated rates from the hospital’s own file: 6 payers, 15 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	Bcbs Tx hmo facility · fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
2	Bcbs Tx bav facility · fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
3	Bcbs Tx ppo facility · fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
4	Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges	$724	$983	$909	92%	—	$78 – $2.4k
5	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$724	$983	$909	92%	—	$78 – $2.4k
6	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$790	$1.1k	$991	92%	—	$85 – $2.6k
7	Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges	$823	$1.1k	$1.0k	92%	—	$89 – $2.7k
8	Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges	$823	$1.1k	$1.0k	92%	—	$89 – $2.7k
9	Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges	$823	$1.1k	$1.0k	92%	—	$89 – $2.7k
10	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$823	$1.1k	$1.0k	92%	—	$89 – $2.7k
11	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$823	$1.1k	$1.0k	92%	—	$89 – $2.7k
12	UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges	$856	$1.2k	$1.1k	92%	—	$92 – $2.8k
13	UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges	$856	$1.2k	$1.1k	92%	—	$92 – $2.8k
14	Humana ppo facility · percent of total billed charges · inpatientfrom % of charges	$878	$1.2k	$1.1k	92%	—	$94 – $2.9k
15	Humana ppo facility · percent of total billed charges · outpatientfrom % of charges	$878	$1.2k	$1.1k	92%	—	$94 – $2.9k

Last updated: Dec 8, 2025

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