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
$65
Average
$3.4k
Median
$370
High
$15.7k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 47.4× 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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28 hospital rates
iThe hospitals that file a Phcs 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 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $380 | $383 | $195 | 51% | — | $101 – $756 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $354 | $357 | $182 | 51% | — | $94 – $705 |
| 3 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 4 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 5 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 6 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $509 | $509 | $135 | 26% | — | $374 – $644 |
| 7 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 8 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $509 | $509 | $135 | 26% | — | $374 – $644 |
| 9 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · inpatient | 1 | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 10 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 11 | Maple Grove Hospital Corporation Grove, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 12 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | $85 | 43% | — | $111 – $281 |
| 13 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | $85 | 43% | — | $111 – $281 |
| 14 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | $85 | 43% | — | $111 – $281 |
| 15 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | $85 | 43% | — | $111 – $281 |
| 16 | Northside Hospital, Inc. Canton, GA percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | $85 | 43% | — | $111 – $281 |
| 17 | PMC HOSPITAL, LLC Pasadena, TX fee schedule · inpatient | 1 | $15.4k | $15.7k | $5.3k | 34% | — | $8.8k – $23.0k |
| 18 | PMC HOSPITAL, LLC Pasadena, TX fee schedule · outpatient | 1 | $15.4k | $15.7k | $5.3k | 34% | — | $8.8k – $23.0k |
| 19 | ST JOSEPH REGIONAL HEALTH CENTER Navasota, TX fee schedule · inpatient | 1 | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 20 | ST JOSEPH REGIONAL HEALTH CENTER Bryan, TX fee schedule · inpatient | 1 | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 21 | ST JOSEPH REGIONAL HEALTH CENTER College Station, TX fee schedule · inpatient | 1 | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 22 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $380 | $383 | $195 | 51% | — | $101 – $756 |
| 23 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $354 | $357 | $182 | 51% | — | $94 – $705 |
| 24 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · inpatientfrom % of charges | 1 | $380 | $383 | $195 | 51% | — | $101 – $756 |
| 25 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges | 1 | $354 | $357 | $182 | 51% | — | $94 – $705 |
← Payers reporting HCPCS Q4152 · Snapshot 20261111T120946Z-9134e7f7