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 Q4125 · MOSES LAKE, WA

Q4125 — Graft Skin Decell Arthroflex 40x70x3mm 28sqcm-q4125-cost Per Sq

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.

$7,310 All-payer median here
$8,915 Cash / self-pay here
64 payer/plan-name variants
← This hospital National rates for Q4125 →
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
   
HEALTHCARE MGNT ADMIN [540] $8,719 19.3% 2
ASURIS [1258] $8,719 19.3% 2
UMR (UnitedHealthcare TPA) $8,260 13.0% 2
Meritain Health $8,260 13.0% 2
EMPLOYEE BENEFIT MANAGEMENT CORP (EBMC) $8,260 13.0% 4
FIRST CHOICE [528] $8,260 13.0% 2
GEHA (Government Employees Health Association) $8,260 13.0% 2
TRUSTMARK [524] $8,260 13.0% 2
MAILHANDLERS BENEFIT PLN [547] $8,260 13.0% 2
ZENITH ADMINISTRATORS [586] $8,260 13.0% 2
BRMS [1270] $8,260 13.0% 2
CITY OF PASCO [2247] $8,260 13.0% 2
Aetna $8,260 13.0% 2
COASTAL ADMINSTRATIVE SERVICES [2269] $8,260 13.0% 2
NW SHEET METAL WORKERS [597] $7,883 7.8% 4
NW ADMINISTRATORS [1238] $7,526 3.0% 2
LOOMIS BENEFITS WEST COMM [1109] $7,526 3.0% 2
MASTERS MATES PILOT [1114] $7,526 3.0% 2
ALLEGIANCE [1245] $7,526 3.0% 2
SAMBA [1966] $7,526 3.0% 2
BOILERMAKERS [1269] $7,526 3.0% 2
Cigna Healthcare $7,526 3.0% 2
AMERICAN POSTAL WORK [1008] $7,526 3.0% 2
AMERICAN TRUST ADMINISTRATORS [2019] $7,526 3.0% 2
GREAT WEST CIGNA [534] $7,526 3.0% 2
HEALTHSMART [584] $7,526 3.0% 2
NALC COMM [1136] $7,526 3.0% 2
Personify Health $7,432 1.7% 4
First Choice Health $7,342 0.4% 2
Community Health Plan of Washington $7,310 0.0% 1
Amerigroup $7,310 0.0% 1
AMERIGROUP MEDICAID HMO [1460] $7,310 0.0% 1
COMMUNITY HLTH PLAN CHPW MEDICAID HMO [1229] $7,310 0.0% 1
COORDINATED CARE MEDICAID HMO [1462] $7,310 0.0% 1
MEDICAID WA ALT [1622] $7,310 0.0% 1
MEDICAID WASHINGTON [203] $7,310 0.0% 1
Medicare (Generic) $7,310 0.0% 2
MEDICARE ALT [1644] $7,310 0.0% 1
Molina Healthcare $7,310 0.0% 3
TRICARE $7,310 0.0% 1
VA / CHAMPVA $7,310 0.0% 2
BCBS [1263] $7,161 -2.0% 4
NW PLUMBING PIPEFITTERS [1331] $5,690 -22.2% 2
NW ROOFERS EMP HLT SEC TRST [1615] $5,690 -22.2% 2
INLANDBOATMENS UNION TRUST [2687] $5,690 -22.2% 2
OPERATING ENGINEERS [1144] $5,690 -22.2% 2
INLAND EMP TEAMSTRS TR [1305] $5,690 -22.2% 2
PUGET SND ELECT WRKRS [1348] $5,690 -22.2% 2
PUGET SOUND BENEFITS TRUST [2688] $5,690 -22.2% 2
Regence BCBS $5,690 -22.2% 2
BLUE CROSS ID [1265] $5,690 -22.2% 2
SAVERS [2689] $5,690 -22.2% 2
SPOKANE FIRE FIGHTERS BENEFIT TRUST [2691] $5,690 -22.2% 2
STILLAGUAMISH TRIBE [2690] $5,690 -22.2% 2
TEAMSTERS [1190] $5,690 -22.2% 2
WELFARE AND PENSION [583] $5,690 -22.2% 2
BCBS of Montana $5,690 -22.2% 2
LIFEWISE [1108] $5,690 -22.2% 2
NW IRONWORKERS [1645] $5,690 -22.2% 2
UNITED EMP BEN TRUST [1375] $5,690 -22.2% 2
AMERIBENS SOLUTIONS [508] $5,690 -22.2% 2
WASH TEAMSTERS [1379] $5,690 -22.2% 2
LINECO [1931] $5,690 -22.2% 2
Premera BCBS $5,527 -24.4% 6

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.