HCPCS Q4109
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
PR TISSUEMEND SKIN SUB
Prices here combine facility and professional fees. See them separately →Experimental
Low
$60
Average
$250
Median
$252
High
$416
Showing only prices reported under the fee schedule methodology. Choose another in the filter below to change the chart. 22 hospitals; the 90th percentile is 5.2× 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.
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Westfield Memorial Hospital Inc WESTFIELD, NY | $85 | $84 | $1 | 1% | — | $83 – $85 |
| 2 | Kaleida Health Buffalo, NY | $85 | $81 | $6 | 7% | — | $73 – $86 |
| 3 | Advocate South Suburban Hospital Hazel Crest, IL | $417 | $414 | $22 | 5% | — | $386 – $439 |
| 4 | Nationwide Children's Hospital Columbus, OH | $250 | $250 | — | — | — | $250 – $250 |
| 5 | Advocate Condell Medical Center Libertyville, IL | $256 | $254 | $13 | 5% | — | $237 – $269 |
| 6 | Advocate Christ Medical Center Oak Lawn, IL | $406 | $403 | $21 | 5% | — | $375 – $427 |
| 7 | Advocate Childrens Hospital Park Ridge Park Ridge, IL | $419 | $416 | $22 | 5% | — | $388 – $441 |
| 8 | Advocate Good Samaritan Hospital Downers Grove, IL | $415 | $412 | $22 | 5% | — | $384 – $437 |
| 9 | Mary Hitchcock Memorial Hospital Lebanon, NH | $93 | $93 | — | — | — | $93 – $93 |
| 10 | MultiCare Yakima Valley Memorial Hospital Association Yakima, WA | $184 | $184 | — | — | — | $184 – $184 |
Ask Claude or any MCP client for HCPCS Q4109 pricing at a specific hospital — see how to connect.