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
ALLOGRAFT, AMINOEXCEL PLUS, 5.0 X 8.0CM
Elyria, OH
See all hospitals reporting HCPCS Q4137 →Price type
University Hospitals Health System’s median price of $1.3k is 688% above the median hospital's median price ($159), higher than 92% of the 1,253 hospitals reporting HCPCS Q4137. 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, 40 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 | Medical Mutual medflex commercial facility · fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 11 | Ambetter commercial facility · fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 12 | Caresource marketplace facility · fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 13 | Medical Mutual supermed hmo facility · fee schedule · outpatient | $218 | $218 | — | — | — | $218 – $218 |
| 14 | Medical Mutual nas commercial facility · fee schedule · outpatient | $240 | $240 | — | — | — | $240 – $240 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $974 | $1.7k | $1.9k | 107% | — | $105 – $5.9k |
| 16 | UnitedHealthcare nexus commercial facility · percent of total billed charges · inpatientfrom % of charges | $983 | $1.8k | $1.9k | 107% | — | $106 – $6.0k |
| 17 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.9k | $2.0k | 107% | — | $111 – $6.3k |
| 18 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.9k | $2.0k | 107% | — | $111 – $6.3k |
| 19 | Anthem traditional commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.9k | $2.0k | 107% | — | $111 – $6.3k |
| 20 | Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.9k | $2.0k | 107% | — | $111 – $6.3k |
| 21 | Medical Mutual medflex commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.9k | $2.0k | 107% | — | $111 – $6.3k |
| 22 | Medical Mutual medflex commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.9k | $2.0k | 107% | — | $111 – $6.3k |
| 23 | Medical Mutual nas commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.9k | $2.0k | 107% | — | $111 – $6.3k |
| 24 | Medical Mutual nas commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.9k | $2.0k | 107% | — | $111 – $6.3k |
| 25 | Medical Mutual supermed hmo facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.9k | $2.0k | 107% | — | $111 – $6.3k |
Last updated: Jul 14, 2026
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