Epicord surgical tissue patch, 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

AMNIOCORD, 2 CM X 3 CM

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 $710 is 127% above the median hospital's median price ($313), higher than 82% of the 1,440 hospitals reporting HCPCS Q4187. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4187 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	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	Medical Mutual medflex commercial facility · fee schedule · outpatient	$471	$471	—	—	—	$471 – $471
13	Medical Mutual supermed hmo facility · fee schedule · outpatient	$524	$524	—	—	—	$524 – $524
14	Medical Mutual nas commercial facility · fee schedule · outpatient	$576	$576	—	—	—	$576 – $576
15	Medical Mutual northern ohio commercial facility · percent of total billed charges · outpatientfrom % of charges	$574	$828	$595	72%	—	$232 – $1.9k
16	Medical Mutual supermed ppo facility · percent of total billed charges · outpatientfrom % of charges	$582	$840	$603	72%	—	$236 – $2.0k
17	UnitedHealthcare nexus commercial facility · percent of total billed charges · outpatientfrom % of charges	$729	$890	$666	75%	—	$350 – $2.2k
18	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$737	$939	$618	66%	—	$299 – $1.9k
19	Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges	$737	$939	$618	66%	—	$299 – $1.9k
20	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$810	$989	$740	75%	—	$389 – $2.4k
21	Medical Mutual northern ohio commercial facility · percent of total billed charges · inpatientfrom % of charges	$793	$1.1k	$822	72%	—	$321 – $2.7k
22	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$944	$1.2k	$769	64%	—	$433 – $2.7k
23	Cigna ppo commercial facility · percent of total billed charges · inpatientfrom % of charges	$889	$1.3k	$922	72%	—	$360 – $3.0k
24	Cigna ppo commercial facility · percent of total billed charges · outpatientfrom % of charges	$889	$1.3k	$922	72%	—	$360 – $3.0k
25	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	$468	36%	—	$842 – $1.8k

Page 1 of 2 · 42 rates

Last updated: Jul 14, 2026

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