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
4X6CM DERMAPURE ALLOGRAFT
Low
$11
Average
$485
Median
$68
High
$1.8k
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 38.2× 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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38 hospital rates
iThe hospitals that file a Aetna Better Health 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 | Capital Health System Inc Trenton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $11 | $4 | 37% | — | $8 – $16 |
| 2 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $11 | $4 | 37% | — | $8 – $16 |
| 3 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 4 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 5 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 6 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 7 | FAIRVIEW PARK HOSPITAL DUBLIN, GA fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 8 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 9 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 10 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 11 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 12 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · inpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 13 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 14 | Inspira Health Center Bridgeton Bridgeton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $562 | $562 | $548 | 97% | — | $14 – $1.1k |
| 15 | Inspira Health Center Woodbury Woodbury, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $562 | $562 | $548 | 97% | — | $14 – $1.1k |
| 16 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $594 | $594 | $579 | 97% | — | $15 – $1.2k |
| 17 | Inspira Medical Center Mannington Salem, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $594 | $594 | $579 | 97% | — | $15 – $1.2k |
| 18 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $594 | $594 | $579 | 97% | — | $15 – $1.2k |
| 19 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $562 | $562 | $548 | 97% | — | $14 – $1.1k |
| 20 | MEMORIAL HEALTH MEADOWS HOSPITAL Vidalia, GA fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 21 | MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER SAVANNAH, GA fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 22 | MEMORIAL SATILLA HEALTH Waycross, GA fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 23 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 24 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 25 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.8k | $948 | 54% | — | $881 – $3.6k |
← Payers reporting HCPCS Q4152 · Snapshot 20261111T120946Z-9134e7f7