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
DERMACELL AWM PORO 1SQCM
Low
$39
Average
$955
Median
$415
High
$5.4k
Filter by billing methodology
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. 26 hospitals; the 90th percentile is 16.1× 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 Mountain Ridge Thornton, CO | $350 | $350 | — | — | — | $61 – $361 |
| 2 | Hca Healthone Northeast Er THORNTON, CO | $350 | $350 | — | — | — | $61 – $361 |
| 3 | Porter Hospital LLC Valparaiso, IN | $132 | $132 | — | — | — | $117 – $537 |
| 4 | Northwest Sahurita Hospital LLC Tucson, AZ | $132 | $132 | $1 | 1% | — | $131 – $252 |
| 5 | Northwest Sahurita Hospital LLC Sahuarita, AZ | $132 | $132 | $1 | 1% | — | $131 – $252 |
| 6 | Oro Valley Hospital LLC Tucson, AZ | $132 | $132 | $1 | 1% | — | $131 – $305 |
| 7 | Northwest Hospital LLC Tucson, AZ | $132 | $132 | $1 | 1% | — | $131 – $305 |
| 8 | Triad of Alabama LLC Dothan, AL | $118 | $118 | — | — | — | $118 – $210 |
| 9 | Bullhead City Hospital Corporation City, AZ | $356 | $356 | — | — | — | $140 – $363 |
| 10 | Crestview Hospital Corporation Crestview, FL | $130 | $130 | — | — | — | $128 – $377 |
Ask Claude or any MCP client for HCPCS Q4122 pricing at a specific hospital — see how to connect.