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
$23
Average
$5.8k
Median
$963
High
$54.7k
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
186 hospitals; the 90th percentile is 262.3× 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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275 hospital rates
iThe hospitals that file a Kaiser 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 | KAISER FOUNDATION HOSPITAL - MOANALUA HONOLULU, HI percent of total billed charges · bothfrom % of charges | 3 | $652 | $1.1k | $629 | 59% | 21–39 | $593 – $2.0k |
| 2 | HCA HEALTHONE PRESBYTERIAN ST LUKES Denver, CO percent of total billed charges · outpatientfrom % of charges | 3 | $220 | $8.0k | $15.1k | 189% | 13–31 | $130 – $44.9k |
| 3 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $8.9k | $8.9k | — | — | 12–120 | $8.9k – $8.9k |
| 4 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | $462 | 42% | 12–120 | $283 – $1.7k |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $58.8k | $58.8k | — | — | 1–10 | $58.8k – $58.8k |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · outpatient | 1 | $58.8k | $58.8k | — | — | 1–10 | $58.8k – $58.8k |
| 7 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 8 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 2 | $3.6k | $3.6k | $954 | 26% | — | $2.7k – $4.6k |
| 9 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 8 | $12.1k | $10.8k | $2.4k | 23% | — | $6.6k – $12.1k |
| 10 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 2 | $26 | $26 | — | — | — | $26 – $26 |
| 11 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · inpatientfrom % of charges | 2 | $116 | $116 | — | — | — | $116 – $116 |
| 12 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $62 | $62 | — | — | — | $62 – $62 |
| 13 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $19.1k | $26.5k | $14.7k | 56% | — | $8.8k – $69.9k |
| 14 | Banner Payson Medical Center Payson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $47 | $5 | 11% | — | $42 – $56 |
| 15 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $136 | $136 | $1 | 0% | — | $135 – $137 |
| 16 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 2 | $4.8k | $5.7k | $3.6k | 63% | — | $806 – $13.1k |
| 17 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4.8k | $5.7k | $3.6k | 63% | — | $806 – $13.1k |
| 18 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $191 | $191 | $23 | 12% | — | $168 – $214 |
| 19 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 20 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · inpatientfrom % of charges | 3 | $35 | $37 | $4 | 10% | — | $33 – $42 |
| 21 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 3 | $54 | $57 | $5 | 9% | — | $52 – $64 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · outpatientfrom % of charges | 2 | $96 | $96 | $22 | 22% | — | $74 – $117 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
← Payers reporting HCPCS Q4116 · Snapshot 20261111T120946Z-9134e7f7