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
TISSUE GRAFT SURGICLOSE 300cm2 MESHED 2:1 (540 sq cm)
Low
$0
Average
$366
Median
$142
High
$6.0k
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 174 hospitals; the 90th percentile is 5.5× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Methodist Hospitals of Dallas Richardson, TX | $133 | $170 | $62 | 37% | 62 | $16 – $375 |
| 2 | Methodist Hospitals of Dallas Richardson, TX | $133 | $170 | $62 | 37% | 62 | $16 – $375 |
| 3 | Prisma Health Oconee Memorial Hospital SENECA, SC | $128 | $132 | $16 | 12% | 33 | $11 – $233 |
| 4 | Capital Health System Inc Pennington, NJ | $110 | $110 | — | — | 24–240 | $75 – $60.6k |
| 5 | Mercy Hospital Ada Inc Ada, OK | $125 | $138 | $35 | 25% | 6–60 | $125 – $281 |
| 6 | Benefis Hospitals Inc Falls, MT | $127 | $158 | $78 | 50% | 4–40 | $127 – $369 |
| 7 | Mercy Hospital Oklahoma City Inc City, OK | $125 | $139 | $35 | 25% | 3–30 | $118 – $281 |
| 8 | Mount Carmel St Ann's Westerville, OH | $7.4k | $6.0k | $2.9k | 48% | 1–10 | $75 – $7.4k |
| 9 | Porter Hospital LLC Valparaiso, IN | $211 | $202 | $73 | 36% | — | $0 – $537 |
| 10 | Naples HMA LLC Naples, FL | $348 | $319 | $146 | 46% | — | $63 – $669 |
Ask Claude or any MCP client for HCPCS Q4158 pricing at a specific hospital — see how to connect.