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
DERMAGRAFT, PER 1 SQ CM
Toccoa, GA
See all hospitals reporting HCPCS Q4106 →Price type
Stephens County Hospital’s median price of $132 is 57% above the median hospital's median price ($84), higher than 72% of the 1,176 hospitals reporting HCPCS Q4106. 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, 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medicaid medicaid percent of total billed charges · outpatientfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 2 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
| 3 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 4 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $136 | $136 | — | — | — | $136 – $136 |
| 5 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $141 | $141 | — | — | — | $141 – $141 |
| 6 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 7 | Caresource medicare fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 8 | Medicare medicare fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
Last updated: May 19, 2026
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