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
$3.6k
Median
$2.2k
High
$27.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
732 hospitals; the 90th percentile is 119.4× 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.
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977 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | 90–900 | $3.8k – $3.8k |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN percent of total billed charges · bothfrom % of charges | 1 | $3.7k | $3.7k | — | — | 21–210 | $3.7k – $3.7k |
| 3 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 10 | $2.1k | $2.1k | — | — | 10–100 | $2.1k – $2.1k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $10.4k | $14.9k | $12.1k | 81% | 8–80 | $855 – $40.8k |
| 5 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $9.3k | $11.0k | $7.5k | 68% | 8–80 | $1.0k – $25.5k |
| 6 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $2.5k | $4.0k | $6.1k | 154% | 8–80 | $59 – $21.2k |
| 7 | Methodist Hospitals of Dallas Coppell, TX percent of total billed charges · bothfrom % of charges | 3 | $64 | $91 | $62 | 69% | 8–80 | $17 – $213 |
| 8 | Methodist Hospitals of Dallas Souhtlake, TX percent of total billed charges · bothfrom % of charges | 3 | $64 | $91 | $62 | 69% | 8–80 | $17 – $213 |
| 9 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $748 | $1.3k | $1.2k | 97% | 6–60 | $267 – $3.9k |
| 10 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $7.1k | $11.0k | $8.7k | 79% | 5–50 | $1.5k – $29.0k |
| 11 | MCLAREN CENTRAL MICHIGAN PLEASANT, MI percent of total billed chargesfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 12 | MCLAREN FLINT FLINT, MI percent of total billed chargesfrom % of charges | 1 | $8.6k | $8.6k | — | — | 1–10 | $8.6k – $8.6k |
| 13 | MCLAREN GREATER LANSING LANSING, MI percent of total billed chargesfrom % of charges | 1 | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
| 14 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 15 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $1.6k | $1.7k | $962 | 55% | — | $154 – $3.8k |
| 16 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 3 | $7.0k | $7.0k | $2.9k | 42% | — | $2.8k – $10.9k |
| 17 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $5.6k | $5.7k | $1.6k | 28% | — | $4.0k – $7.4k |
| 18 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $406 | $406 | $126 | 31% | — | $279 – $532 |
| 19 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 1 | $406 | $406 | $126 | 31% | — | $279 – $532 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $966 | $966 | — | — | — | $966 – $966 |
| 21 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $3.9k | $5.1k | $4.5k | 88% | — | $286 – $16.2k |
| 22 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $4.8k | $4.2k | 88% | — | $268 – $15.2k |
| 23 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $1.6k | $3.1k | $3.8k | 123% | — | $0 – $12.9k |
| 24 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 1 | $4.8k | $5.0k | $2.5k | 49% | — | $2.1k – $8.2k |
| 25 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $3.3k | $3.9k | $2.1k | 54% | — | $1.4k – $8.2k |
← Payers reporting HCPCS Q4100 · Snapshot 20261111T120946Z-9134e7f7