Price Checker / CPT Q4101
CPT Q4101 — Apligraf
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$127
What Medicare pays in a hospital/ASC setting
$127
What Medicare pays in a physician's office
$3,517
Based on 120 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT Q4101
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Licking Memorial Hospital , OH | $35,776 | $35,776 | 28012% |
| Anaheim Regional Medical Center , CA | $32,443 | $32,443 | 25393% |
| UMass Memorial Health-Harrington at Webster , MA | $20,884 | $20,884 | 16311% |
| UMass Memorial Health-Harrington Hospital , MA | $20,884 | $20,884 | 16311% |
| Monterey Park Hospital , CA | $18,582 | $18,582 | 14502% |
| Grundy County Memorial Hospital , IA | $13,438 | $10,750 | 10459% |
| Meadowview Regional Medical Center , KY | $13,181 | — | 10258% |
| Elmore Community Hospital , AL | $11,330 | $5,665 | 8803% |
| Lake Martin Community Hospital , AL | $11,330 | $5,665 | 8803% |
| Greenbrier Valley Medical Center , WV | $9,814 | $9,814 | 7612% |
| Astria Sunnyside Hospital , WA | $9,792 | $5,591 | 7594% |
| WTH Volunteer Hospital , TN | — | $2,025 | 7150% |
| Marlborough Hospital , MA | $8,917 | $8,917 | 6907% |
| UMass Memorial Medical Center Memorial Campus , MA | $8,917 | $8,917 | 6907% |
| UMass Memorial Medical Center-North Pavilion , MA | $8,917 | $8,917 | 6907% |
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About CPT Q4101
CPT code Q4101 refers to “Apligraf”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $127 in a facility (hospital or ambulatory surgery center) and $127in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.