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
99999-0921-21 - Regenerative Tissue Matrix 50 cm2
Low
$0
Average
$3.0k
Median
$191
High
$57.9k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 215 hospitals; the 90th percentile is 33.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Porter Hospital LLC Valparaiso, IN | $211 | $215 | $54 | 25% | — | $117 – $537 |
| 2 | Naples HMA LLC Naples, FL | $584 | $476 | $196 | 41% | — | $105 – $669 |
| 3 | Naples HMA LLC Naples, FL | $584 | $476 | $196 | 41% | — | $105 – $669 |
| 4 | Naples HMA LLC Naples, FL | $584 | $476 | $196 | 41% | — | $105 – $669 |
| 5 | Northwest Sahurita Hospital LLC Tucson, AZ | $137 | $141 | $12 | 8% | — | $62 – $278 |
| 6 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $137 | $141 | $12 | 8% | — | $62 – $278 |
| 7 | Oro Valley Hospital LLC Tucson, AZ | $134 | $139 | $11 | 8% | — | $67 – $417 |
| 8 | Northwest Hospital LLC Tucson, AZ | $134 | $137 | $10 | 8% | — | $67 – $417 |
| 9 | Triad of Alabama LLC Dothan, AL | $120 | $151 | $97 | 64% | — | $66 – $439 |
| 10 | Affinity Hospital LLC Birmingham, AL | $425 | $535 | $440 | 82% | — | $112 – $1.2k |
Ask Claude or any MCP client for HCPCS Q4107 pricing at a specific hospital — see how to connect.