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
Puraply 1 sq cm
Low
$1
Average
$315
Median
$165
High
$10.7k
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Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 1158 hospitals; the 90th percentile is 3.0× 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 | $164 | $53 | 32% | — | $120 – $279 |
| 2 | Beth Israel Deaconess Hospital - Needham Needham, MA | $102 | $165 | $92 | 56% | — | $98 – $295 |
| 3 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $94 | $152 | $107 | 70% | — | $85 – $337 |
| 4 | Ingalls Memorial Hospital Harvey, IL | $146 | $137 | $20 | 15% | — | $109 – $170 |
| 5 | Fairview Health Services Edina, MN | $218 | $232 | $131 | 56% | — | $46 – $445 |
| 6 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX | $145 | $221 | $173 | 78% | — | $119 – $871 |
| 7 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI | $135 | $144 | $37 | 26% | — | $106 – $251 |
| 8 | Hca Florida West Hospital PENSACOLA, FL | $100 | $157 | $82 | 52% | — | $97 – $273 |
| 9 | Mayo Regional Hospital Dover Foxcroft, ME | $103 | $111 | $35 | 31% | — | $71 – $189 |
| 10 | Corewell Health Ludington Hospital Ludington, MI | $124 | $135 | $37 | 27% | — | $112 – $223 |
Ask Claude or any MCP client for HCPCS Q4195 pricing at a specific hospital — see how to connect.