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
$87
Average
$719
Median
$137
High
$3.0k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
5 hospitals; the 90th percentile is 18.1× 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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6 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 2 | HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient | 2 | $205 | $205 | $75 | 37% | — | $130 – $279 |
| 3 | UPMC Cole Coudersport, PA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 4 | UPMC Cole Coudersport, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.2k | $2.2k | $25 | 1% | — | $2.1k – $2.2k |
| 5 | Uniontown Hospital Uniontown, PA facility · other · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 6 | Weirton Medical Center Inc Weirton, WV facility · other · outpatient | 1 | $137 | $137 | — | — | — | $137 – $137 |
← Payers reporting HCPCS Q4152 · Snapshot 20261111T120946Z-9134e7f7