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
PURAPLY XT 1 SQ CM
Jasper, TX
See all hospitals reporting HCPCS Q4197 →Price type
Southeast Texas - Jasper Memorial’s median price of $145 is 1% below the median hospital's median price ($147), higher than 49% of the 1,114 hospitals reporting HCPCS Q4197. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 7 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 all payer fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 3 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 4 | Bcbs Tx heb fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 5 | Bcbs Tx hmo fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 6 | Bcbs Tx traditional fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
Last updated: Jan 13, 2026
See Puraply XT skin graft substitute, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.