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
EZ DERM NON-PERFRTD 8 X 30CM
Washington, PA
See all hospitals reporting HCPCS Q4136 →Price type
UPMC Washington’s median price of $136 is 9% above the median hospital's median price ($125), higher than 59% of the 730 hospitals reporting HCPCS Q4136. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Aetna commercial facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Amerihealth Caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 4 | Aetna advantra washington prime facility · percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 5 | Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 6 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $132 | $132 | — | — | — | $132 – $132 |
| 7 | Aetna auto/workers compensation facility · percent of total billed charges · outpatientfrom % of charges | $140 | $140 | — | — | — | $140 – $140 |
| 8 | Aetna cofinity/firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 9 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
| 10 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
Last updated: Mar 6, 2026
See Ez-Derm skin substitute, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.