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
HC Dermacell, Awm, Porous Sq Cm
Low
$0
Average
$3.1k
Median
$215
High
$40.0k
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 143 hospitals; the 90th percentile is 36.8× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Prisma Health Oconee Memorial Hospital SENECA, SC | $128 | $132 | $16 | 12% | 54 | $22 – $233 |
| 2 | Ellis Hospital Schenectady, NY | $300 | $648 | $892 | 138% | 2–20 | $23 – $25.4k |
| 3 | Prisma Health Baptist Columbia Hospital COLUMBIA, SC | $123 | $126 | $18 | 14% | 1–10 | $28 – $220 |
| 4 | Porter Hospital LLC Valparaiso, IN | $211 | $215 | $54 | 25% | — | $117 – $537 |
| 5 | Northwest Sahurita Hospital LLC Tucson, AZ | $263 | $257 | $113 | 44% | — | $73 – $748 |
| 6 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $263 | $257 | $113 | 44% | — | $73 – $748 |
| 7 | Oro Valley Hospital LLC Tucson, AZ | $150 | $226 | $112 | 50% | — | $73 – $1.1k |
| 8 | Northwest Hospital LLC Tucson, AZ | $135 | $213 | $107 | 50% | — | $73 – $1.1k |
| 9 | Triad of Alabama LLC Dothan, AL | $120 | $153 | $96 | 63% | — | $66 – $439 |
| 10 | Bullhead City Hospital Corporation City, AZ | $147 | $184 | $74 | 40% | — | $70 – $522 |
Ask Claude or any MCP client for HCPCS Q4122 pricing at a specific hospital — see how to connect.