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
TISSUE DERMAL MEMODERM (50SQ CM)5X10CM NON-MESHED EXTRA THICK 19800
Based on 73–226 billing samples across every hospital reporting.
Low
$1
Average
$1.2k
Median
$176
High
$288.4k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 1114 hospitals; the 90th percentile is 30.7× 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 | Methodist Hospitals of Dallas Coppell, TX | $131 | $147 | $71 | 48% | 28 | $21 – $338 |
| 2 | Methodist Hospitals of Dallas Southlake, TX | $131 | $147 | $71 | 48% | 28 | $21 – $338 |
| 3 | Hospital Authority of Colquitt County Moultrie, GA | $8.1k | $11.1k | $8.8k | 79% | 16–160 | $256 – $26.2k |
| 4 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA | $4.4k | $3.9k | $1.8k | 47% | 1–10 | $292 – $5.5k |
| 5 | Bridgton Hospital Bridgton, ME | $289 | $439 | $350 | 80% | — | $231 – $1.2k |
| 6 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $123 | $135 | $40 | 30% | — | $78 – $233 |
| 7 | Beth Israel Deaconess Hospital - Needham Needham, MA | $93 | $98 | $29 | 30% | — | $65 – $136 |
| 8 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $59 | $127 | $121 | 95% | — | $54 – $337 |
| 9 | Ingalls Memorial Hospital Harvey, IL | $94 | $97 | $30 | 31% | — | $63 – $147 |
| 10 | USA Health University Hospital Mobile, AL | $127 | $133 | $13 | 10% | — | $125 – $172 |
Ask Claude or any MCP client for HCPCS Q4126 pricing at a specific hospital — see how to connect.