Dermapure skin graft material, per square centimeter at University Hospitals Health System

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

ALLOGRAFT, DERMAL, DECELLULARIZED, DERMAPURE, 4CM X 6CM

Elyria, OH

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Pricing by billing methodology

Price type

How this price compares nationally

University Hospitals Health System’s median price of $2.2k is 1654% above the median hospital's median price ($127), higher than 95% of the 1,116 hospitals reporting HCPCS Q4152. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4152 at University Hospitals Health System

Negotiated rates from the hospital’s own file: 13 payers, 42 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	Medical Mutual medflex commercial facility · fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
2	Medical Mutual supermed hmo facility · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
3	Medical Mutual nas commercial facility · fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
4	Aetna medicare advantage facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
5	Anthem medicare advantage facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
6	Cigna medicare advantage facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
7	Devoted medicare advantage facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
8	Humana medicare advantage facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
9	Medical Mutual medicare advantage facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
10	Molina medicare advantage facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
11	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
12	WellCare medicare advantage facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
13	Ambetter commercial facility · fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
14	Caresource marketplace facility · fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
15	Medical Mutual northern ohio commercial facility · percent of total billed charges · outpatientfrom % of charges	$2.1k	$1.7k	$850	49%	—	$532 – $2.5k
16	Medical Mutual supermed ppo facility · percent of total billed charges · outpatientfrom % of charges	$2.2k	$1.7k	$862	49%	—	$539 – $2.5k
17	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$2.4k	$2.0k	$908	46%	—	$683 – $2.8k
18	Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges	$2.4k	$2.0k	$908	46%	—	$683 – $2.8k
19	UnitedHealthcare nexus commercial facility · percent of total billed charges · outpatientfrom % of charges	$2.0k	$2.0k	$1.2k	60%	—	$800 – $3.2k
20	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$2.2k	$2.2k	$1.3k	60%	—	$890 – $3.6k
21	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
22	UnitedHealthcare nexus commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
23	Medical Mutual northern ohio commercial facility · percent of total billed charges · inpatientfrom % of charges	$3.0k	$2.4k	$1.2k	49%	—	$735 – $3.4k
24	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
25	Anthem traditional commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k

Page 1 of 2 · 42 rates

Last updated: Jul 14, 2026

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