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
$0
Average
$564
Median
$144
High
$10.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
458 hospitals; the 90th percentile is 17.8× 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.
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557 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $3.4k | $3.4k | $2.3k | 68% | 2–20 | $1.1k – $5.7k |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $1.7k | $2.2k | $810 | 37% | — | $1.4k – $3.2k |
| 3 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 4 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $175 | $224 | $182 | 81% | — | $12 – $837 |
| 5 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 6 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 7 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 8 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 9 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 10 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 11 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 2 | $92 | $92 | $32 | 34% | — | $60 – $123 |
| 12 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $55 | $55 | — | — | — | $55 – $55 |
| 13 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 2 | $126 | $126 | — | — | — | $126 – $126 |
| 14 | Alta Bates Summit Medical Center - Alta Bates Camp Berkeley, CA facility · fee schedule · outpatient | 2 | $126 | $126 | — | — | — | $126 – $126 |
| 15 | Alta Bates Summit Medical Center - Herrick Campus Berkeley, CA facility · fee schedule · outpatient | 2 | $126 | $126 | — | — | — | $126 – $126 |
| 16 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 2 | $126 | $126 | — | — | — | $126 – $126 |
| 17 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $55 | $55 | — | — | — | $55 – $55 |
| 18 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $55 | $55 | — | — | — | $55 – $55 |
| 19 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 20 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · inpatient | 2 | $6.4k | $6.8k | $2.8k | 41% | — | $3.6k – $10.8k |
| 21 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 22 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 6 | $4.5k | $3.5k | $1.9k | 54% | — | $848 – $5.2k |
| 23 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 5 | $3.0k | $4.4k | $3.3k | 73% | — | $2.4k – $10.9k |
| 24 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 5 | $2.7k | $2.8k | $335 | 12% | — | $2.4k – $3.3k |
| 25 | Barnesville Hospital Association, Inc. Barnesville, OH facility · case rate · outpatient | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
← Payers reporting HCPCS Q4152 · Snapshot 20261111T120946Z-9134e7f7