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
$861
Median
$164
High
$21.7k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
851 hospitals; the 90th percentile is 23.4× 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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1,095 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Methodist Hospitals of Dallas Coppell, TX other · both | 5 | $125 | $128 | $4 | 3% | 28 | $125 – $134 |
| 2 | Methodist Hospitals of Dallas Souhtlake, TX other · both | 5 | $125 | $128 | $4 | 3% | 28 | $125 – $134 |
| 3 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | ADVENTIST HEALTH TULARE Tulare, CA other · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 5 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $13.4k | $13.6k | $8.7k | 64% | — | $4.8k – $22.9k |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 7 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $82 | $81 | $2 | 3% | — | $78 – $82 |
| 8 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 3 | $82 | $81 | $2 | 3% | — | $78 – $82 |
| 9 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $140 | $140 | $1 | 1% | — | $139 – $142 |
| 10 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $123 | $121 | $82 | 68% | — | $15 – $270 |
| 11 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $84 | $84 | $21 | 24% | — | $64 – $105 |
| 12 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $16.0k | $16.0k | $72 | 0% | — | $15.8k – $16.0k |
| 13 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.0k | $16.0k | $72 | 0% | — | $15.8k – $16.0k |
| 14 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 15 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18.2k | $18.2k | — | — | — | $18.2k – $18.2k |
| 16 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 17 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 18 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 19 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 20 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 21 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 22 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $204 | $204 | $70 | 34% | — | $134 – $274 |
| 23 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $204 | $204 | $70 | 34% | — | $134 – $274 |
| 24 | Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient | 2 | $204 | $204 | $70 | 34% | — | $134 – $274 |
| 25 | Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient | 2 | $194 | $194 | $20 | 10% | — | $174 – $214 |
← Payers reporting HCPCS Q4126 · Snapshot 20261111T120946Z-9134e7f7