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
$99
Average
$587
Median
$160
High
$17.0k
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
48 hospitals; the 90th percentile is 1.9× 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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55 hospital rates
iThe hospitals that file a Oscar 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 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 2 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $13.6k | $17.0k | $12.0k | 70% | — | $4.4k – $33.1k |
| 3 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 4 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $125 | $125 | $51 | 41% | — | $74 – $175 |
| 5 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $125 | $125 | $51 | 41% | — | $74 – $175 |
| 6 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $125 | $125 | $51 | 41% | — | $74 – $175 |
| 7 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $125 | $125 | $51 | 41% | — | $74 – $175 |
| 8 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $125 | $125 | $51 | 41% | — | $74 – $175 |
| 9 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $125 | $125 | $51 | 41% | — | $74 – $175 |
| 10 | Honorhealth Scottsdale Thompson Peak Med Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $125 | $125 | $51 | 41% | — | $74 – $175 |
| 11 | Honorhealth Sonoran Crossing Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $125 | $125 | $51 | 41% | — | $74 – $175 |
| 12 | Ingalls Memorial Hospital Harvey, IL fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 13 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 14 | Methodist Hospitals of Dallas Coppell, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 15 | Methodist Hospitals of Dallas Mansfield, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 16 | Methodist Hospitals of Dallas Celina, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 17 | Methodist Hospitals of Dallas Midlothian, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 18 | Methodist Hospitals of Dallas Dallas, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 19 | Methodist Hospitals of Dallas Souhtlake, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 20 | Methodist Hospitals of Dallas Richardson, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 21 | Methodist Hospitals of Dallas Richardson, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 22 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · inpatientfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 23 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 24 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · inpatientfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 25 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
← Payers reporting HCPCS Q4126 · Snapshot 20261111T120946Z-9134e7f7