Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS Q4107 · MOSES LAKE, WA

Q4107 — Graftjacket 1sqcm

What each payer pays SAMARITAN HOSPITAL (CCN 500033) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$5,039 All-payer median here
$5,599 Cash / self-pay here
15 payer/plan-name variants
← This hospital National rates for Q4107 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
ZENITH ADMINISTRATORS [586] $5,039 0.0% 3
BRMS [1270] $5,039 0.0% 3
CITY OF PASCO [2247] $5,039 0.0% 3
COASTAL ADMINSTRATIVE SERVICES [2269] $5,039 0.0% 3
EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC) $5,039 0.0% 6
FIRST CHOICE [528] $5,039 0.0% 3
UMR (UnitedHealthcare TPA) $5,039 0.0% 3
Aetna $5,039 0.0% 3
GEHA (Government Employees Health Association) $5,039 0.0% 3
MAILHANDLERS BENEFIT PLN [547] $5,039 0.0% 3
Meritain Health $5,039 0.0% 3
NW SHEET METAL WORKERS [597] $5,039 0.0% 3
TRUSTMARK [524] $5,039 0.0% 3
First Choice Health $4,479 -11.1% 3
Personify Health $4,479 -11.1% 3

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.