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
Restorigin 1 sq cm
Saint Louis, MO
See all hospitals reporting HCPCS Q4191 →Price type
SSM-SLUH, Inc.’s median price of $2.9k is 685% above the median hospital's median price ($369), higher than 98% of the 917 hospitals reporting HCPCS Q4191. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield anthem medicare managed care plan fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 2 | Aetna medicare managed care plan fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Humana medicare managed care plan fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 4 | Aetna advantra medicare managed care plan fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 5 | Oscar exchange fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 6 | Cigna all commercial plans fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Blue Cross Blue Shield anthem pathway exchange fee schedule · outpatient | $2.9k | $3.3k | $1.2k | 37% | — | $1.8k – $5.5k |
| 8 | Blue Cross Blue Shield anthem blue preferred hmo/pos fee schedule · outpatient | $3.0k | $3.4k | $1.3k | 37% | — | $1.8k – $5.6k |
| 9 | Blue Cross Blue Shield anthem blue access choice all commercial plans fee schedule · outpatient | $3.0k | $3.5k | $1.3k | 37% | — | $1.8k – $5.6k |
| 10 | Blue Cross Blue Shield anthem blue access ppo fee schedule · outpatient | $4.3k | $4.1k | $1.6k | 39% | — | $1.9k – $6.0k |
Last updated: Apr 1, 2026
See Restorigin skin 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.