Revita skin graft substitute, per square centimeter at The Finley Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC REVITA, PER SQ CM LVL 2

Dubuque, IA

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Pricing by billing methodology

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How this price compares nationally

The Finley Hospital’s median price of $354 is 9% below the median hospital's median price ($391), higher than 48% of the 1,064 hospitals reporting HCPCS Q4180. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4180 at The Finley Hospital

Negotiated rates from the hospital’s own file: 5 payers, 14 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	Medica commercial percent of total billed charges · outpatientfrom % of charges	$58	$58	$3	6%	—	$54 – $61
2	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
3	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
4	Cigna commercial percent of total billed charges · inpatientfrom % of charges	$78	$78	—	—	—	$78 – $78
5	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$78	$78	—	—	—	$78 – $78
6	UnitedHealthcare hmo fee schedule · both	$393	$393	—	—	—	$393 – $393
7	UnitedHealthcare ppo fee schedule · both	$393	$393	—	—	—	$393 – $393
8	Cigna commercial fee schedule · both	$799	$799	—	—	—	$799 – $799
9	Wellmark commercial fee schedule · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
10	Wellmark commercial fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
11	Wellmark hmo fee schedule · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
12	Wellmark hmo fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
13	Wellmark ppo fee schedule · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
14	Wellmark ppo fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k

Last updated: Jan 28, 2026

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