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
Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Low
$0
Average
$2.4k
Median
$210
High
$403.7k
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Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 607 hospitals; the 90th percentile is 35.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $337 | $337 | — | — | — | $337 – $337 |
| 2 | USA Health University Hospital Mobile, AL | $127 | $133 | $13 | 10% | — | $125 – $172 |
| 3 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX | $121 | $1.8k | $5.5k | 315% | — | $28 – $24.1k |
| 4 | Hca Florida West Hospital PENSACOLA, FL | $273 | $273 | — | — | — | $273 – $273 |
| 5 | St Joseph Regional Health Network Reading, PA | $118 | $134 | $140 | 105% | — | $26 – $688 |
| 6 | Hoopeston Community Memorial Hospital Hoopeston, IL | $133 | $133 | — | — | — | $133 – $133 |
| 7 | Newark-Wayne Community Hospital Newark, NY | $186 | $186 | $66 | 35% | — | $121 – $252 |
| 8 | Methodist Hospital Hill Country Fredericksburg, TX | $210 | $210 | — | — | — | $210 – $210 |
| 9 | Hca Healthone Northeast Er THORNTON, CO | $381 | $324 | $81 | 25% | — | $210 – $381 |
| 10 | Baylor Scott & White Medical Center - Lakeway Lakeway, TX | $121 | $1.7k | $5.4k | 315% | — | $20 – $28.9k |
Ask Claude or any MCP client for HCPCS Q4142 pricing at a specific hospital — see how to connect.