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
PURAPLY XT 1 SQ CM
Valhalla, NY
See all hospitals reporting HCPCS Q4197 →Price type
Westchester Medical Center’s median price of $1.7k is 1081% above the median hospital's median price ($147), higher than 95% of the 1,125 hospitals reporting HCPCS Q4197. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 35 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 | Tricare tricare facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 2 | Blue Cross Blue Shield blue cross medicare facility · fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 3 | Medicare medicare facility · fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 4 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 5 | Oscar oscar medicare facility · fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 6 | Molina affinity by molina mcr facility · fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 7 | WellCare wellcare exchange (mcr) facility · fee schedule · outpatient | $286 | $286 | — | — | — | $286 – $286 |
| 8 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 9 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | Aetna aetna employee facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | Aetna aetna hp network facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 22 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 23 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | UnitedHealthcare uhc commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 25 | UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Jul 28, 2026
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