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
Low
$1
Average
$936
Median
$130
High
$17.0k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
474 hospitals; the 90th percentile is 47.6× 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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567 hospital rates
iThe hospitals that file a Humana rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 1 | $292 | $292 | — | — | 1–10 | $292 – $292 |
| 2 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $130 | $130 | — | — | — | $130 – $130 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 5 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 6 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 7 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 8 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 9 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $142 | $142 | — | — | — | $142 – $142 |
| 10 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $583 | $583 | — | — | — | $583 – $583 |
| 11 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $135 | $135 | — | — | — | $135 – $135 |
| 12 | BOCA RATON REGIONAL HOSPITAL Delray Beach, FL fee schedule · both | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 13 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $953 | $953 | — | — | — | $953 – $953 |
| 14 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · case rate · outpatient | 2 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 15 | Baxter County Regional Hospital, Inc. Home, AR facility · fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 16 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 17 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $266 | $171 | 64% | — | $162 – $860 |
| 18 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $200 | $247 | $159 | 64% | — | $150 – $798 |
| 19 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $266 | $171 | 64% | — | $162 – $860 |
| 20 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $266 | $171 | 64% | — | $162 – $860 |
| 21 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 22 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $266 | $171 | 64% | — | $162 – $860 |
| 23 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · case rate · outpatient | 1 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 24 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $200 | $247 | $159 | 64% | — | $150 – $798 |
| 25 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $266 | $171 | 64% | — | $162 – $860 |
← Payers reporting HCPCS Q4126 · Snapshot 20261111T120946Z-9134e7f7