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
$18
Average
$2.0k
Median
$130
High
$40.8k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
276 hospitals; the 90th percentile is 127.3× 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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320 hospital rates
iThe hospitals that file a WellCare 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 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $31 | $3 | 8% | 6–60 | $26 – $33 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $28 | $2 | 8% | 6–60 | $23 – $30 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $38 | $3 | 8% | 6–60 | $32 – $41 |
| 4 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 5 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $135 | $135 | $3 | 2% | — | $131 – $138 |
| 6 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $14 | $5 | 34% | — | $6 – $31 |
| 7 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $68 | $26 | 38% | — | $40 – $106 |
| 8 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 9 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 2 | $18 | $18 | — | — | — | $18 – $18 |
| 10 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $24 | $24 | $0 | 1% | — | $24 – $24 |
| 11 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 12 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 2 | $143 | $143 | $27 | 19% | — | $116 – $171 |
| 13 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $185 | $88 | 47% | — | $63 – $312 |
| 14 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · inpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 15 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 16 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $20 | $0 | 0% | — | $20 – $20 |
| 17 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 18 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 19 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 20 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 21 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 22 | Arkansas Childrens Hospital Little Rock, AR facility · other · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 23 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 24 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | $30 | 47% | — | $21 – $105 |
| 25 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $32 | $32 | — | — | — | $32 – $32 |
← Payers reporting HCPCS Q4116 · Snapshot 20261111T120946Z-9134e7f7