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
99999-1026-96 - skin substitute 35 cm2 Misc
Low
$63
Average
$845
Median
$557
High
$5.4k
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 38 hospitals; the 90th percentile is 13.4× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Porter Hospital LLC Valparaiso, IN | $132 | $132 | — | — | — | $117 – $537 |
| 2 | Naples HMA LLC Naples, FL | $130 | $130 | — | — | — | $128 – $669 |
| 3 | Naples HMA LLC Naples, FL | $130 | $130 | — | — | — | $128 – $669 |
| 4 | Naples HMA LLC Naples, FL | $130 | $130 | — | — | — | $128 – $669 |
| 5 | Northwest Sahurita Hospital LLC Tucson, AZ | $132 | $132 | $1 | 1% | — | $131 – $252 |
| 6 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $132 | $132 | $1 | 1% | — | $131 – $252 |
| 7 | Oro Valley Hospital LLC Tucson, AZ | $132 | $132 | $1 | 1% | — | $131 – $305 |
| 8 | Northwest Hospital LLC Tucson, AZ | $132 | $132 | $1 | 1% | — | $131 – $305 |
| 9 | Triad of Alabama LLC Dothan, AL | $118 | $118 | — | — | — | $118 – $210 |
| 10 | Affinity Hospital LLC Birmingham, AL | $156 | $188 | $88 | 47% | — | $112 – $1.1k |
Ask Claude or any MCP client for HCPCS Q4107 pricing at a specific hospital — see how to connect.