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
Puraply xt 1 sq cm
Antioch, CA
See all hospitals reporting HCPCS Q4197 →Price type
Sutter Delta Medical Center’s median price of $172 is 17% above the median hospital's median price ($147), higher than 63% of the 1,125 hospitals reporting HCPCS Q4197. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 4 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 | Blue Cross Blue Shield hmo/ppo facility · fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 2 | Blue Cross Blue Shield individual facility · fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 3 | Anthem medicare adv_ hmo / ppo facility · fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 4 | UnitedHealthcare hmo / ppo facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Apr 1, 2026
See Puraply XT 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.