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
PATCH, DECELLULARIZED DERMIS, 40 X 70MM X 1.5MM
Elyria, OH
See all hospitals reporting HCPCS Q4125 →Price type
University Hospitals Health System’s median price of $2.7k is 352% above the median hospital's median price ($603), higher than 71% of the 1,317 hospitals reporting HCPCS Q4125. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 39 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 | Aetna medicare advantage facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 2 | Anthem medicare advantage facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 3 | Cigna medicare advantage facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 4 | Devoted medicare advantage facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 5 | Humana medicare advantage facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 6 | Medical Mutual medicare advantage facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 7 | Molina medicare advantage facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 9 | WellCare medicare advantage facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 10 | Ambetter commercial facility · fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 11 | Caresource marketplace facility · fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.4k | $2.4k | $1.3k | 53% | — | $610 – $4.3k |
| 13 | UnitedHealthcare nexus commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.4k | $2.4k | $1.3k | 53% | — | $615 – $4.3k |
| 14 | Medical Mutual medflex commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.5k | $1.3k | 52% | — | $647 – $4.5k |
| 15 | Medical Mutual supermed hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.5k | $1.3k | 51% | — | $647 – $4.5k |
| 16 | Medical Mutual nas commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.6k | $1.3k | 51% | — | $647 – $4.5k |
| 17 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.5k | $2.6k | $1.4k | 53% | — | $647 – $4.5k |
| 18 | Anthem traditional commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.5k | $2.6k | $1.4k | 53% | — | $647 – $4.5k |
| 19 | Medical Mutual medflex commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.5k | $2.6k | $1.4k | 53% | — | $647 – $4.5k |
| 20 | Medical Mutual nas commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.5k | $2.6k | $1.4k | 53% | — | $647 – $4.5k |
| 21 | Medical Mutual supermed hmo facility · percent of total billed charges · inpatientfrom % of charges | $2.5k | $2.6k | $1.4k | 53% | — | $647 – $4.5k |
| 22 | Medical Mutual northern ohio commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.6k | $1.3k | 52% | — | $662 – $4.6k |
| 23 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.6k | $1.3k | 50% | — | $647 – $4.5k |
| 24 | Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.6k | $1.3k | 50% | — | $647 – $4.5k |
| 25 | Medical Mutual supermed ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.6k | $1.4k | 52% | — | $671 – $4.7k |
Last updated: Jul 14, 2026
See Donor skin tissue graft (Arthroflex) 5x20x30mm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.