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
NOVACHOR 1 SQ CM
Prices here combine facility and professional fees. See them separately →Experimental
Low
$144
Average
$249
Median
$160
High
$859
Filter by billing methodology
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. 14 hospitals; the 90th percentile is 3.6× 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 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $129 | $144 | $43 | 30% | — | $127 – $264 |
| 2 | City Hospital, Inc. Martinsburg, WV | $134 | $151 | $31 | 20% | — | $127 – $221 |
| 3 | University Medical Center of Southern Nevada Las Vegas, NV | $859 | $859 | — | — | — | $859 – $859 |
| 4 | United Hospital Center Bridgeport, WV | $134 | $155 | $32 | 21% | — | $127 – $221 |
| 5 | Wetzel County Hospital, Inc. New Martinsville, WV | $133 | $144 | $26 | 18% | — | $127 – $221 |
| 6 | Princeton Community Hospital Assn Inc. Princeton, WV | $134 | $215 | $193 | 90% | — | $127 – $737 |
| 7 | Reynolds Memorial Hospital, Inc. Glen Dale, WV | $133 | $144 | $30 | 21% | — | $82 – $221 |
| 8 | West Virginia University Hospitals, Inc. Morgantown, WV | $133 | $151 | $47 | 31% | — | $82 – $335 |
| 9 | Montefiore Medical Center Bronx, NY | $638 | $638 | — | — | — | $638 – $638 |
| 10 | Uniontown Hospital Uniontown, PA | $134 | $166 | $53 | 32% | — | $127 – $295 |
Ask Claude or any MCP client for HCPCS Q4194 pricing at a specific hospital — see how to connect.