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
HC Graft Placental 5x5cm (131792), per 1 Sq Cm
McCall, ID
See all hospitals reporting HCPCS Q4133 →Price type
St Luke's McCall, LTD’s median price of $300 is 16% above the median hospital's median price ($260), higher than 58% of the 1,822 hospitals reporting HCPCS Q4133. 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, 13 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 | Cigna hb mccall cigna fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 2 | Molina hb mccall molina mmcp percent of total billed charges · bothfrom % of charges | $191 | $235 | $80 | 34% | — | $144 – $357 |
| 3 | Regence hb mccall medicare advantage percent of total billed charges · bothfrom % of charges | $191 | $235 | $80 | 34% | — | $144 – $357 |
| 4 | Blue Cross Blue Shield hb mccall bci true & secure med adv percent of total billed charges · bothfrom % of charges | $193 | $238 | $81 | 34% | — | $146 – $360 |
| 5 | Molina hb mccall molina med adv percent of total billed charges · bothfrom % of charges | $195 | $240 | $82 | 34% | — | $147 – $364 |
| 6 | Aetna hb mccall aetna med adv percent of total billed charges · bothfrom % of charges | $210 | $259 | $88 | 34% | — | $159 – $392 |
| 7 | Bcbs Id hb mccall bci percent of total billed charges · bothfrom % of charges | $290 | $357 | $122 | 34% | — | $219 – $541 |
| 8 | Blue Cross Blue Shield hb mccall bci percent of total billed charges · bothfrom % of charges | $290 | $357 | $122 | 34% | — | $219 – $541 |
| 9 | Aetna hb mccall aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges | $296 | $365 | $124 | 34% | — | $224 – $554 |
| 10 | Cigna hb mccall cigna percent of total billed charges · inpatientfrom % of charges | $306 | $377 | $128 | 34% | — | $232 – $572 |
| 11 | Aetna hb mccall bp aetna percent of total billed charges · bothfrom % of charges | $313 | $386 | $131 | 34% | — | $237 – $584 |
| 12 | First Health hb mccall first choice health percent of total billed charges · bothfrom % of charges | $313 | $386 | $131 | 34% | — | $237 – $584 |
| 13 | UnitedHealthcare hb mccall united healthcare percent of total billed charges · bothfrom % of charges | $316 | $390 | $133 | 34% | — | $239 – $590 |
Last updated: Mar 25, 2026
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