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
Revitalon 1 square cm
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$655
Median
$214
High
$310.7k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 836 hospitals; the 90th percentile is 3.4× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $157 | $176 | $68 | 39% | — | $120 – $333 |
| 2 | Beth Israel Deaconess Hospital - Needham Needham, MA | $299 | $299 | — | — | — | $299 – $299 |
| 3 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $337 | $337 | — | — | — | $337 – $337 |
| 4 | Ingalls Memorial Hospital Harvey, IL | $215 | $214 | $66 | 31% | — | $133 – $335 |
| 5 | USA Health University Hospital Mobile, AL | $127 | $133 | $13 | 10% | — | $125 – $172 |
| 6 | Fairview Health Services Edina, MN | $420 | $381 | $107 | 28% | — | $215 – $532 |
| 7 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI | $217 | $217 | $50 | 23% | — | $168 – $267 |
| 8 | Hca Florida West Hospital PENSACOLA, FL | $273 | $273 | — | — | — | $273 – $273 |
| 9 | Mayo Regional Hospital Dover Foxcroft, ME | $178 | $576 | $789 | 137% | — | $168 – $2.2k |
| 10 | Corewell Health Ludington Hospital Ludington, MI | $178 | $174 | $33 | 19% | — | $124 – $223 |
Ask Claude or any MCP client for HCPCS Q4157 pricing at a specific hospital — see how to connect.