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
CE-Allograft Amnioband Viable P Lacental Matrix 5cm X 5cm
San Diego, CA
See all hospitals reporting HCPCS Q4151 →Price type
Sharp Memorial Hospital’s median price of $2.2k is 1041% above the median hospital's median price ($193), higher than 94% of the 1,304 hospitals reporting HCPCS Q4151. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 69 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 first health - direct fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blue Cross Blue Shield blue cross - ppo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Blue Cross Blue Shield blue shield - promise fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | MultiPlan multiplan fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | UnitedHealthcare united healthcare - medicare fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | UnitedHealthcare united healthcare - ppo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Aetna aetna - hmo/pos fee schedule · outpatient | $1 | $1 | $0 | 7% | — | $1 – $1 |
| 8 | Optum optum health - medicare fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 9 | UnitedHealthcare united healthcare - hmo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Medicaid medi-cal fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges | $257 | $257 | — | — | — | $257 – $257 |
| 12 | Blue Cross Blue Shield blue cross - ppo percent of total billed charges · inpatientfrom % of charges | $434 | $434 | $98 | 23% | — | $337 – $532 |
| 13 | Blue Cross Blue Shield blue cross - ppo case rate · inpatient | $725 | $725 | — | — | — | $725 – $725 |
| 14 | Blue Cross Blue Shield blue shield - promise case rate · outpatient | $725 | $725 | — | — | — | $725 – $725 |
| 15 | MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges | $604 | $799 | $524 | 66% | — | $277 – $1.5k |
| 16 | UnitedHealthcare united healthcare - hmo percent of total billed charges · outpatientfrom % of charges | $614 | $910 | $506 | 56% | — | $495 – $1.6k |
| 17 | Cigna cigna - hmo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Kaiser kaiser - rehab percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | $529 | 41% | — | $774 – $1.8k |
| 19 | Kaiser kaiser - hmo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | UnitedHealthcare united healthcare - ppo percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | $612 | 43% | — | $693 – $2.2k |
| 21 | Aetna aetna - ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.5k | $1.2k | 80% | — | $264 – $3.0k |
| 22 | Blue Cross Blue Shield blue cross - hmo percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.8k | $572 | 32% | — | $1.0k – $2.4k |
| 23 | Molina molina - cal medi-connect percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $1.3k | 72% | — | $508 – $3.1k |
| 24 | Blue Cross Blue Shield blue cross - standard percent of total billed charges · inpatientfrom % of charges | $1.9k | $1.8k | $207 | 11% | — | $1.6k – $2.1k |
| 25 | Blue Cross Blue Shield blue cross - mcs percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.9k | $576 | 31% | — | $1.4k – $2.7k |
Last updated: Apr 1, 2026
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.