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
DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM
Low
$1
Average
$2.3k
Median
$169
High
$39.0k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1367 hospitals; the 90th percentile is 143.4× 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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1,989 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 | Methodist Hospitals of Dallas Coppell, TX percent of total billed charges · bothfrom % of charges | 3 | $64 | $95 | $65 | 69% | 125 | $19 – $198 |
| 2 | Methodist Hospitals of Dallas Souhtlake, TX percent of total billed charges · bothfrom % of charges | 3 | $64 | $95 | $65 | 69% | 125 | $19 – $198 |
| 3 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $98 | $1.2k | $3.1k | 252% | 109 | $60 – $9.9k |
| 4 | Methodist Hospitals of Dallas Coppell, TX other · both | 5 | $125 | $128 | $4 | 3% | 25 | $125 – $134 |
| 5 | Methodist Hospitals of Dallas Souhtlake, TX other · both | 5 | $125 | $128 | $4 | 3% | 25 | $125 – $134 |
| 6 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 10 | $19.9k | $19.9k | — | — | 10–100 | $19.9k – $19.9k |
| 7 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $927 | $1.2k | $923 | 76% | 9–90 | $206 – $3.3k |
| 8 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $89 | $89 | — | — | 5–50 | $89 – $89 |
| 9 | Avera St. Luke's Aberdeen, SD fee schedule · outpatient | 1 | $89 | $89 | — | — | 3–30 | $89 – $89 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | $58 | 51% | 2–20 | $54 – $170 |
| 11 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 12 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $741 | $666 | $116 | 17% | 1–10 | $502 – $756 |
| 13 | 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 | $19.9k | $19.9k | — | — | 1–10 | $19.9k – $19.9k |
| 14 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $3.9k | $4.4k | $1.7k | 38% | — | $2.5k – $7.0k |
| 15 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY percent of total billed charges · outpatientfrom % of charges | 1 | $16.6k | $18.7k | $7.1k | 38% | — | $10.6k – $29.4k |
| 16 | ADVENTIST HEALTH TULARE Tulare, CA other · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 17 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $9.1k | $9.1k | $1.8k | 19% | — | $7.2k – $11.1k |
| 18 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 19 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 20 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 4 | $5.7k | $8.0k | $5.4k | 68% | — | $2.6k – $18.0k |
| 21 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $3.6k | $3.6k | $965 | 27% | — | $2.6k – $4.5k |
| 22 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $4.5k | $4.9k | $2.0k | 41% | — | $2.6k – $7.4k |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $6.7k | $8.3k | $5.2k | 63% | — | $2.9k – $17.1k |
| 25 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6.3k | $7.8k | $4.9k | 63% | — | $2.7k – $16.1k |
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