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 Miroderm 3cm X 3cm, per 1 Sq Cm
McCall, ID
See all hospitals reporting HCPCS Q4175 →Price type
St Luke's McCall, LTD’s median price of $113 is 13% below the median hospital's median price ($129), higher than 35% of the 1,003 hospitals reporting HCPCS Q4175. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Molina hb mccall molina mmcp percent of total billed charges · outpatientfrom % of charges | $88 | $88 | $16 | 18% | — | $73 – $104 |
| 2 | Regence hb mccall medicare advantage percent of total billed charges · outpatientfrom % of charges | $88 | $88 | $16 | 18% | — | $73 – $104 |
| 3 | Blue Cross Blue Shield hb mccall bci true & secure med adv percent of total billed charges · outpatientfrom % of charges | $89 | $89 | $16 | 18% | — | $73 – $105 |
| 4 | Molina hb mccall molina med adv percent of total billed charges · outpatientfrom % of charges | $90 | $90 | $16 | 18% | — | $74 – $106 |
| 5 | Aetna hb mccall aetna med adv percent of total billed charges · outpatientfrom % of charges | $97 | $97 | $17 | 18% | — | $80 – $114 |
| 6 | Cigna hb mccall cigna fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 7 | Aetna hb mccall aetna trinity health (st al's) percent of total billed charges · outpatientfrom % of charges | $137 | $137 | $24 | 18% | — | $113 – $161 |
| 8 | Aetna hb mccall bp aetna percent of total billed charges · outpatientfrom % of charges | $144 | $144 | $26 | 18% | — | $119 – $170 |
| 9 | First Health hb mccall first choice health percent of total billed charges · outpatientfrom % of charges | $144 | $144 | $26 | 18% | — | $119 – $170 |
| 10 | UnitedHealthcare hb mccall united healthcare percent of total billed charges · outpatientfrom % of charges | $146 | $146 | $26 | 18% | — | $120 – $172 |
Last updated: Mar 25, 2026
See Miroderm 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.