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
HC Affinity 6.25 Sq Cm 2.5 X 2.5 per Sq Cm
Goldsboro, NC
See all hospitals reporting HCPCS Q4159 →Price type
Wayne Memorial Hospital’s median price of $405 is 14% above the median hospital's median price ($356), higher than 57% of the 1,417 hospitals reporting HCPCS Q4159. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | $92 | 38% | — | $148 – $333 |
| 2 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | $92 | 38% | — | $148 – $333 |
| 3 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | $92 | 38% | — | $148 – $333 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $283 | $283 | $109 | 38% | — | $174 – $392 |
| 5 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $460 | $460 | $177 | 38% | — | $283 – $638 |
| 6 | Cigna commercial facility · fee schedule · outpatient | $461 | $461 | — | — | — | $461 – $461 |
| 7 | UnitedHealthcare commercial facility · fee schedule · outpatient | $640 | $640 | — | — | — | $640 – $640 |
| 8 | UnitedHealthcare individual exchange facility · fee schedule · outpatient | $640 | $640 | — | — | — | $640 – $640 |
| 9 | UnitedHealthcare individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $681 | $681 | $262 | 38% | — | $419 – $942 |
| 10 | Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges | $692 | $692 | $266 | 38% | — | $426 – $959 |
| 11 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $717 | $717 | $276 | 38% | — | $441 – $992 |
| 12 | UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges | $719 | $719 | $276 | 38% | — | $442 – $995 |
| 13 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $757 | $757 | $291 | 38% | — | $466 – $1.0k |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $757 | $757 | $291 | 38% | — | $466 – $1.0k |
| 15 | Medcost commercial/ultra facility · percent of total billed charges · outpatientfrom % of charges | $790 | $790 | $304 | 38% | — | $486 – $1.1k |
| 16 | Medcost commercial/ultra facility · percent of total billed charges · inpatientfrom % of charges | $800 | $800 | $308 | 38% | — | $492 – $1.1k |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $839 | $839 | $323 | 38% | — | $516 – $1.2k |
Last updated: Jun 18, 2026
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