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
MEMBRANE PLACENTA TISS BIODFENCE G3 4X4CM-16SQCM-Q4116-COST PER SQ CM
Low
$1
Average
$5.2k
Median
$997
High
$32.2k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
118 hospitals; the 90th percentile is 28.6× 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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134 hospital rates
iThe hospitals that file a MultiPlan 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 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $3.4k | $4.1k | $2.1k | 50% | — | $2.4k – $8.0k |
| 2 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 3 | $908 | $872 | $91 | 10% | — | $748 – $961 |
| 3 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | $129 | 11% | — | $1.1k – $1.3k |
| 4 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $463 | $590 | $255 | 43% | — | $360 – $946 |
| 5 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · inpatient | 1 | $2.7k | $3.2k | $1.6k | 50% | — | $1.9k – $6.3k |
| 6 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $2.7k | $3.2k | $1.6k | 50% | — | $1.9k – $6.3k |
| 7 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.6k | $4.8k | $2.1k | 42% | — | $1.8k – $9.2k |
| 8 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.6k | $4.8k | $2.1k | 42% | — | $1.8k – $9.2k |
| 9 | HCA FLORIDA AVENTURA HOSPITAL AVENTURA, FL percent of total billed charges · outpatientfrom % of charges | 2 | $22.0k | $22.0k | $2.2k | 10% | — | $19.4k – $26.0k |
| 10 | HCA FLORIDA JFK HOSPITAL ATLANTIS, FL percent of total billed charges · outpatientfrom % of charges | 2 | $24.5k | $24.5k | $1.5k | 6% | — | $22.9k – $26.0k |
| 11 | HCA FLORIDA KENDALL HOSPITAL MIAMI, FL percent of total billed charges · outpatientfrom % of charges | 2 | $26.9k | $27.1k | $3.1k | 12% | — | $22.9k – $31.5k |
| 12 | HCA FLORIDA LAWNWOOD HOSPITAL VERO BEACH, FL percent of total billed charges · outpatientfrom % of charges | 2 | $17.0k | $16.5k | $6.9k | 42% | — | $7.4k – $26.0k |
| 13 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 5% | — | $1 – $1 |
| 14 | HCA HEALTHONE AURORA Aurora, CO percent of total billed charges · outpatientfrom % of charges | 3 | $908 | $872 | $91 | 10% | — | $748 – $961 |
| 15 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 3 | $954 | $916 | $95 | 10% | — | $785 – $1.0k |
| 16 | HCA HEALTHONE SKY RIDGE Lone Tree, CO percent of total billed charges · outpatientfrom % of charges | 3 | $806 | $774 | $81 | 10% | — | $664 – $853 |
| 17 | HCA HEALTHONE SOUTH PARKER ER PARKER, CO percent of total billed charges · outpatientfrom % of charges | 3 | $806 | $774 | $81 | 10% | — | $664 – $853 |
| 18 | HCA HEALTHONE SOUTHWEST ER LITTLETON, CO percent of total billed charges · outpatientfrom % of charges | 3 | $954 | $916 | $95 | 10% | — | $785 – $1.0k |
| 19 | HCA HEALTHONE SWEDISH Englewood, CO percent of total billed charges · outpatientfrom % of charges | 3 | $954 | $916 | $95 | 10% | — | $785 – $1.0k |
| 20 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $5.1k | $2.6k | 50% | — | $3.0k – $10.0k |
| 21 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $510 | $649 | $281 | 43% | — | $397 – $1.0k |
| 22 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 2 | $442 | $442 | $13 | 3% | — | $429 – $455 |
| 23 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 2 | $442 | $442 | $13 | 3% | — | $429 – $455 |
| 24 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 2 | $442 | $442 | $13 | 3% | — | $429 – $455 |
| 25 | Indiana University Health Bloomington Inc. Bloomington, IN percent of total billed charges · outpatientfrom % of charges | 2 | $442 | $442 | $13 | 3% | — | $429 – $455 |
← Payers reporting HCPCS Q4140 · Snapshot 20261111T120946Z-9134e7f7