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
ARTHROFLEX 40MM X 70MM X 3.0 DERMIS DECELLULARIZED 28SQCM -
River, MA
See all hospitals reporting HCPCS Q4125 →Price type
Southcoast Hospitals Group, Inc.’s median price of $0 is 100% below the median hospital's median price ($603), higher than 0% of the 1,317 hospitals reporting HCPCS Q4125. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 11 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 aetna medicare managed care [101030101] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs Ma bcbs massachusetts hmo [101040122] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Bcbs Ri bcbs rhode island hmo [101050101] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Blue Cross Blue Shield bcbs mass medicare managed care [101030201] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | UnitedHealthcare united health one care [101031004] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | UnitedHealthcare united medicare managed care [101031001] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | UnitedHealthcare united healthcare [101080105] percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.4k | $1.9k | 44% | — | $2.3k – $7.1k |
| 8 | Phcs phcs [100012501] percent of total billed charges · outpatientfrom % of charges | $5.3k | $5.8k | $2.5k | 44% | — | $3.0k – $9.4k |
| 9 | Cigna cigna [100011201] percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.8k | $2.6k | 44% | — | $3.0k – $9.5k |
| 10 | Aetna aetna [100010801] percent of total billed charges · outpatientfrom % of charges | $6.2k | $6.7k | $3.0k | 44% | — | $3.5k – $11.0k |
| 11 | First Health first health [100013001] percent of total billed charges · outpatientfrom % of charges | $6.2k | $6.7k | $3.0k | 44% | — | $3.5k – $11.0k |
Last updated: Dec 15, 2025
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