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
GRAFT MIRODERM FEN PLUS 4X4
Low
$0
Average
$880
Median
$195
High
$8.0k
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Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 73 hospitals; the 90th percentile is 23.9× 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 | ARH Tug Valley Health Services, Inc. Paintsville, KY | $101 | $108 | $83 | 77% | 16–160 | $23 – $450 |
| 2 | Hca Florida North Florida Hospital NEWBERRY, FL | $0 | $0 | $0 | 72% | — | $0 – $15k |
| 3 | Hca Florida Jfk North Hospital West Palm Beach, FL | $2.6k | $3.8k | $2.7k | 72% | — | $550 – $9.7k |
| 4 | Triad of Alabama LLC Dothan, AL | $624 | $550 | $190 | 35% | — | $92 – $749 |
| 5 | Wellington Regional Medical Center Wellington, FL | $3.9k | $6.2k | $4.9k | 78% | — | $1.2k – $14.6k |
| 6 | Hackensack Meridian at Pascack Valley Westwood, NJ | $1.4k | $2.2k | $1.9k | 87% | — | $127 – $7.8k |
| 7 | Hackensack Meridian Mountainside Medical Center Montclair, NJ | $1.7k | $1.6k | $671 | 42% | — | $229 – $3.1k |
| 8 | Hmh Hospitals Corporation North Bergen, NJ | $96 | $96 | $43 | 44% | — | $13 – $204 |
| 9 | Hmh Hospitals Corporation Edison, NJ | $79 | $84 | $30 | 36% | — | $24 – $187 |
| 10 | Hmh Hospitals Corporation Hackensack, NJ | $93 | $95 | $39 | 41% | — | $24 – $198 |
Ask Claude or any MCP client for HCPCS Q4175 pricing at a specific hospital — see how to connect.