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
$461
Median
$177
High
$23.4k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 495 hospitals; the 90th percentile is 6.8× 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 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX | $131 | $148 | $39 | 26% | — | $119 – $269 |
| 3 | Hca Florida West Hospital PENSACOLA, FL | $273 | $273 | — | — | — | $273 – $273 |
| 4 | St Joseph Regional Health Network Reading, PA | $127 | $185 | $160 | 87% | — | $108 – $688 |
| 5 | Hoopeston Community Memorial Hospital Hoopeston, IL | $133 | $133 | — | — | — | $133 – $133 |
| 6 | Newark-Wayne Community Hospital Newark, NY | $186 | $186 | $66 | 35% | — | $121 – $252 |
| 7 | Methodist Hospital Hill Country Fredericksburg, TX | $210 | $210 | — | — | — | $210 – $210 |
| 8 | Hca Healthone Northeast Er THORNTON, CO | $381 | $324 | $81 | 25% | — | $210 – $381 |
| 9 | Baylor Scott & White Medical Center - Lakeway Lakeway, TX | $131 | $143 | $24 | 17% | — | $119 – $206 |
| 10 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT | $126 | $130 | $5 | 4% | — | $126 – $139 |
Ask Claude or any MCP client for HCPCS Q4142 pricing at a specific hospital — see how to connect.