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
Surgigraft, 1 sq cm
Cedar Rapids, IA
See all hospitals reporting HCPCS Q4183 →Price type
St Luke's Methodist Hospital’s median price of $90 is 44% below the median hospital's median price ($160), higher than 14% of the 859 hospitals reporting HCPCS Q4183. 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, 8 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 | Wellmark commercial fee schedule · both | $90 | $90 | — | — | — | $90 – $90 |
| 2 | Wellmark commercial fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 3 | Wellmark hmo fee schedule · both | $90 | $90 | — | — | — | $90 – $90 |
| 4 | Wellmark hmo fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 5 | Wellmark ppo fee schedule · both | $90 | $90 | — | — | — | $90 – $90 |
| 6 | Wellmark ppo fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 7 | UnitedHealthcare hmo fee schedule · both | $161 | $161 | — | — | — | $161 – $161 |
| 8 | UnitedHealthcare ppo fee schedule · both | $161 | $161 | — | — | — | $161 – $161 |
Last updated: Jan 28, 2026
See Surgical 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.