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 Matrix Amnion 3x4cm Thick <12 Sq Cm>
McCall, ID
See all hospitals reporting HCPCS Q4211 →Price type
St Luke's McCall, LTD’s median price of $463 is 243% above the median hospital's median price ($135), higher than 93% of the 530 hospitals reporting HCPCS Q4211. 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, 12 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 | Molina hb mccall molina mmcp percent of total billed charges · bothfrom % of charges | $302 | $302 | — | — | — | $302 – $302 |
| 2 | Regence hb mccall medicare advantage percent of total billed charges · bothfrom % of charges | $302 | $302 | — | — | — | $302 – $302 |
| 3 | Blue Cross Blue Shield hb mccall bci true & secure med adv percent of total billed charges · bothfrom % of charges | $305 | $305 | — | — | — | $305 – $305 |
| 4 | Molina hb mccall molina med adv percent of total billed charges · bothfrom % of charges | $308 | $308 | — | — | — | $308 – $308 |
| 5 | Aetna hb mccall aetna med adv percent of total billed charges · bothfrom % of charges | $332 | $332 | — | — | — | $332 – $332 |
| 6 | Bcbs Id hb mccall bci percent of total billed charges · inpatientfrom % of charges | $458 | $458 | — | — | — | $458 – $458 |
| 7 | Blue Cross Blue Shield hb mccall bci percent of total billed charges · inpatientfrom % of charges | $458 | $458 | — | — | — | $458 – $458 |
| 8 | Aetna hb mccall aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges | $468 | $468 | — | — | — | $468 – $468 |
| 9 | Cigna hb mccall cigna percent of total billed charges · bothfrom % of charges | $484 | $484 | — | — | — | $484 – $484 |
| 10 | Aetna hb mccall bp aetna percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 11 | First Health hb mccall first choice health percent of total billed charges · bothfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 12 | UnitedHealthcare hb mccall united healthcare percent of total billed charges · bothfrom % of charges | $499 | $499 | — | — | — | $499 – $499 |
Last updated: Mar 25, 2026
See Amniotic membrane graft, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.