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
GRAFT SOFT TISSUE 15X10CM MATRISTEM BURN MATRIX
Low
$7
Average
$2.5k
Median
$835
High
$7.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 473.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 12 | $8 | $7 | $4 | 58% | — | $0 – $13 |
| 2 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +4 other terms | 11 | $37 | $37 | $18 | 48% | — | $22 – $62 |
| 3 | UnitedHealthcare facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms | 10 | $26 | $24 | $13 | 54% | — | $4 – $43 |
| 4 | Cigna facility · percent of total billed charges · bothfrom % of charges · +4 other terms | 9 | $26 | $25 | $14 | 54% | — | $13 – $59 |
| 5 | WellCare facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 9 | $20 | $20 | $9 | 48% | — | $12 – $33 |
| 6 | Aetna professional · fee schedule · both · +5 other terms | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Humana percent of total billed charges · outpatientfrom % of charges · +1 other terms | 2 | $7.0k | $6.7k | $1.6k | 24% | — | $4.5k – $8.0k |
| 8 | Anthem percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | $862 | 29% | — | $2.0k – $4.1k |
| 9 | Blue Cross Blue Shield case rate · both · +2 other terms | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 10 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 11 | Magellan percent of total billed charges · outpatientfrom % of charges | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 12 | Molina percent of total billed charges · outpatientfrom % of charges | 1 | $6.0k | $6.0k | $3.0k | 50% | — | $3.0k – $8.9k |
| 13 | Optum facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | $5 | 48% | — | $6 – $16 |
| 14 | Phcs percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $6.4k | $6.4k | $1.8k | 29% | — | $4.6k – $8.2k |
| 15 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 1 | $835 | $835 | — | — | — | $835 – $835 |
← Hospitals reporting HCPCS Q4120 · Snapshot 20261113T090226Z-3ce6c0b8