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
$704
Median
$216
High
$23.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
680 hospitals; the 90th percentile is 4.4× 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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767 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $1.6k | $1.9k | $970 | 50% | — | $1.1k – $3.8k |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $237 | $233 | $6 | 3% | — | $224 – $237 |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 3 | $237 | $233 | $6 | 3% | — | $224 – $237 |
| 5 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $140 | $140 | $1 | 1% | — | $139 – $142 |
| 6 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $227 | $227 | $62 | 27% | — | $165 – $288 |
| 7 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 8 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 9 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 10 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 11 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 12 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 13 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $468 | $468 | — | — | — | $468 – $468 |
| 14 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $383 | $383 | — | — | — | $383 – $383 |
| 15 | Alta Newport Hospital, LLC Tustin, CA facility · fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 16 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $249 | $249 | — | — | — | $249 – $249 |
| 17 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 18 | Aspirus Eagle River Hospital Eagle River, WI fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 19 | Aspirus Iron River Hospital Iron River, MI fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 20 | Aspirus Ironwood Hospital Ironwood, MI fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 21 | Aspirus Keweenaw Hospital Laurium, MI fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 22 | Aspirus Langlade Hospital Antigo, WI fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 23 | Aspirus Medford Hospital Medford, WI fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 24 | Aspirus Merrill Hospital Merrill, WI fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 25 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
← Payers reporting HCPCS Q4140 · Snapshot 20261111T120946Z-9134e7f7