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
ALLOGRAFT REVITA 4X6CM
Prices here combine facility and professional fees. See them separately →Experimental
Low
$123
Average
$1.4k
Median
$1.1k
High
$7.0k
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 68 hospitals; the 90th percentile is 22.5× 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 | Laird Hospital, Inc. Union, MS | $2.6k | $2.6k | $879 | 34% | — | $1.5k – $4.4k |
| 2 | Northside Hospital, Inc. Lawrenceville, GA | $164 | $223 | $159 | 71% | — | $63 – $656 |
| 3 | Northside Hospital, Inc. Atlanta, GA | $166 | $230 | $159 | 69% | — | $67 – $656 |
| 4 | Valley Health Speciality Hospital Las Vegas, NV | $2.0k | $2.8k | $1.4k | 48% | — | $2.0k – $5.6k |
| 5 | Methodist Hospitals of Dallas Coppell, TX | $134 | $180 | $64 | 36% | — | $125 – $338 |
| 6 | Rush Medical Foundation Meridian, MS | $2.5k | $2.6k | $1.0k | 39% | — | $1.4k – $4.5k |
| 7 | Temecula Valley Hospital Temecula, CA | $4.3k | $4.3k | $244 | 6% | — | $3.9k – $4.5k |
| 8 | Lafayette General Medical Center Inc Lafayette, LA | $1.6k | $2.1k | $1.6k | 75% | — | $936 – $5.8k |
| 9 | Methodist Hospitals of Dallas Mansfield, TX | $133 | $168 | $61 | 36% | — | $125 – $338 |
| 10 | Ochsner Clinic Foundation Orleans, LA | $974 | $1.5k | $1.1k | 75% | — | $411 – $4.3k |
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