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
GRAFT SOFT TISSUE 16X10CM TUTOPATCH BOVINE PERICARDIUM STERILE LATEX FREE
Low
$0
Average
$4.3k
Median
$2.8k
High
$28.6k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
677 hospitals; the 90th percentile is 85.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
950 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 8 | $3.0k | $3.8k | $3.6k | 94% | 71–710 | $191 – $20.0k |
| 2 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 4 | $2.8k | $5.7k | $6.6k | 115% | 64–640 | $573 – $41.6k |
| 3 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 6 | $674 | $935 | $958 | 102% | 38–380 | $164 – $7.6k |
| 4 | Southeastern Regional Medical Center, Inc. Newnan, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $2.5k | $3.3k | 131% | 21–210 | $322 – $15.9k |
| 5 | Saint Francis Hospital and Medical Center Hartford, CT facility · percent of total billed charges · bothfrom % of charges | 2 | $1.9k | $2.0k | $1.7k | 84% | 3–30 | $44 – $4.6k |
| 6 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 5 | $2.4k | $2.7k | $833 | 31% | 3–30 | $1.1k – $3.8k |
| 7 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $7.7k | $8.6k | $4.7k | 55% | — | $761 – $18.8k |
| 8 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $5k | $5k | — | — | — | $5k – $5k |
| 9 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $5.5k | $5.6k | $2.4k | 43% | — | $2.9k – $9.8k |
| 10 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $4.5k | $6.7k | 147% | — | $11 – $36.6k |
| 11 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $1.2k | $3.5k | $5.4k | 152% | — | $6 – $36.6k |
| 12 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH case rate · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $13.2k | $15.0k | $7.8k | 52% | — | $8.6k – $30.2k |
| 14 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13.2k | $15.0k | $7.8k | 52% | — | $8.6k – $30.2k |
| 15 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $11.3k | $12.9k | $6.7k | 52% | — | $7.4k – $25.9k |
| 16 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11.3k | $12.9k | $6.7k | 52% | — | $7.4k – $25.9k |
| 17 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · inpatientfrom % of charges | 1 | $1.5k | $1.5k | $30 | 2% | — | $1.5k – $1.6k |
| 18 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | $30 | 2% | — | $1.5k – $1.6k |
| 19 | Advocate South Suburban Hospital Hazel Crest, IL percent of total billed charges · inpatientfrom % of charges | 1 | $1.9k | $1.9k | $37 | 2% | — | $1.8k – $1.9k |
| 20 | Advocate South Suburban Hospital Hazel Crest, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | $37 | 2% | — | $1.8k – $1.9k |
| 21 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $970 | $1.1k | $659 | 57% | — | $341 – $2.3k |
| 22 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $970 | $1.1k | $659 | 57% | — | $341 – $2.3k |
| 23 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 24 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 25 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 3 | $624 | $712 | $443 | 62% | — | $176 – $1.9k |
← Payers reporting HCPCS Q4100 · Snapshot 20261111T120946Z-9134e7f7