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
HYALOMATRIX 1SQCM
Low
$132
Average
$826
Median
$350
High
$5.4k
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Prices here combine facility and professional fees. See them separately →Experimental
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. 10 hospitals; the 90th percentile is 9.1× 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 | Hca Healthone Northeast Er THORNTON, CO | $350 | $350 | — | — | — | $350 – $350 |
| 2 | The Children's Hospital of Alabama Birmingham, AL | $459 | $459 | — | — | — | $459 – $459 |
| 3 | Northwest Hospital LLC Tucson, AZ | $132 | $132 | $1 | 1% | — | $131 – $133 |
| 4 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL | $763 | $744 | $98 | 13% | — | $161 – $776 |
| 5 | Northwest Sahurita Hospital LLC Tucson, AZ | $132 | $132 | $1 | 1% | — | $131 – $133 |
| 6 | Arthur G James Cancer Hospital And Research Institute Columbus, OH | $5.4k | $5.4k | $434 | 8% | — | $4.3k – $5.8k |
| 7 | Hca Healthone Mountain Ridge Thornton, CO | $350 | $350 | — | — | — | $350 – $350 |
| 8 | Nazareth Hospital Philadelphia, PA | $474 | $474 | — | — | — | $474 – $474 |
| 9 | Oro Valley Hospital LLC Tucson, AZ | $132 | $132 | $1 | 1% | — | $131 – $133 |
| 10 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $132 | $132 | $1 | 1% | — | $131 – $133 |
Ask Claude or any MCP client for HCPCS Q4117 pricing at a specific hospital — see how to connect.