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
MATRIX TISSUE 20X16CM ALLODERM SELECT THK.4-2.4MM THICK
Low
$4
Average
$218
Median
$134
High
$1.2k
Each hospital's average Clover rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 3.5× 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.
Filter by billing methodology
Filter by billing class
46 hospital rates
iThe hospitals that file a Clover 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 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 2 | Capital Health System Inc Trenton, NJ case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 3 | Capital Health System Inc Browns Mills, NJ case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 4 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · both | 2 | $120 | $120 | — | — | — | $120 – $120 |
| 5 | Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 6 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $405 | $988 | 244% | — | $4 – $5.4k |
| 7 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $411 | $995 | 242% | — | $4 – $5.4k |
| 8 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $411 | $995 | 242% | — | $4 – $5.4k |
| 9 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $411 | $995 | 242% | — | $4 – $5.4k |
| 10 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $411 | $995 | 242% | — | $4 – $5.4k |
| 11 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $411 | $995 | 242% | — | $4 – $5.4k |
| 12 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $411 | $995 | 242% | — | $4 – $5.4k |
| 13 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $411 | $995 | 242% | — | $4 – $5.4k |
| 14 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $4 | $10 | 242% | — | $0 – $54 |
| 15 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $411 | $995 | 242% | — | $4 – $5.4k |
| 16 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $411 | $995 | 242% | — | $4 – $5.4k |
| 17 | HMH HOSPITALS CORPORATION Perth Amboy, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $411 | $995 | 242% | — | $4 – $5.4k |
| 18 | Hackensack Meridian at Pascack Valley Westwood, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | $284 | 23% | — | $915 – $1.6k |
| 19 | Hilton Head Medical Center LLC Hilton Head Island, SC fee schedule · both | 2 | $120 | $120 | — | — | — | $120 – $120 |
| 20 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 21 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 22 | Kershaw Medical Center Camden, SC facility · fee schedule · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 23 | MUSC Health Black River Medical Center Cades, SC facility · fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 24 | MUSC Health Columbia Medical Center Northeast Columbia, SC facility · fee schedule · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 25 | MUSC Medical Center Charleston, SC facility · fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
← Payers reporting HCPCS Q4116 · Snapshot 20261111T120946Z-9134e7f7