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
$378
Average
$393
Median
$393
High
$407
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4 hospital rates
iThe hospitals that file a Superior Healthplan 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 | MEDICAL CITY DENTON Denton, TX percent of total billed charges · outpatientfrom % of charges | 5 | $447 | $407 | $97 | 24% | — | $274 – $502 |
| 2 | Medical City Argyle Argyle, TX percent of total billed charges · outpatientfrom % of charges | 5 | $447 | $407 | $97 | 24% | — | $274 – $502 |
| 3 | ST DAVIDS REHAB Austin, TX percent of total billed charges · outpatientfrom % of charges | 7 | $186 | $378 | $221 | 59% | — | $186 – $633 |
| 4 | ST. DAVID'S MEDICAL CENTER Manor, TX percent of total billed charges · outpatientfrom % of charges | 7 | $186 | $378 | $221 | 59% | — | $186 – $633 |
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