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
HC Implant Graft Purified Collagen Matrix Phmb Antimicrobial Puraply 8cm Puraplyam-Com2x4 304568
Low
$0
Average
$1.5k
Median
$280
High
$70.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1354 hospitals; the 90th percentile is 36.8× 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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2,076 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $125 | $125 | — | — | 8–80 | $125 – $125 |
| 2 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $125 | $125 | — | — | 8–80 | $125 – $125 |
| 3 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 25 | $25.4k | $25.4k | — | — | 3–30 | $25.4k – $25.4k |
| 4 | MCLAREN MACOMB CLEMENS, MI percent of total billed chargesfrom % of charges | 1 | $279 | $279 | — | — | 1–10 | $279 – $279 |
| 5 | Raleigh General Hospital Beckley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 6 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $218 | $218 | — | — | 1–10 | $218 – $218 |
| 7 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · inpatient | 1 | $8.9k | $9.0k | $4.9k | 54% | — | $3.5k – $17.9k |
| 8 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $8.9k | $9.0k | $4.9k | 54% | — | $3.5k – $17.9k |
| 9 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | $847 | 74% | — | $298 – $2.0k |
| 10 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 11 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $346 | $346 | — | — | — | $346 – $346 |
| 13 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $337 | $381 | $204 | 54% | — | $167 – $682 |
| 14 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $195 | $234 | $96 | 41% | — | $166 – $442 |
| 15 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $167 | $216 | $99 | 46% | — | $99 – $401 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $149 | $149 | $31 | 21% | — | $118 – $180 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $518 | $518 | $74 | 14% | — | $444 – $592 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $414 | $394 | $28 | 7% | — | $355 – $414 |
| 19 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 2 | $222 | $527 | $593 | 113% | — | $135 – $2.1k |
| 20 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $299 | $642 | $833 | 130% | — | $38 – $3.3k |
| 21 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · bothfrom % of charges | 1 | $336 | $4.0k | $6.8k | 173% | — | $149 – $32.5k |
| 22 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $1.1k | $1.9k | 173% | — | $41 – $8.9k |
| 23 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · bothfrom % of charges | 1 | $336 | $4.0k | $6.8k | 173% | — | $149 – $32.5k |
| 24 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $943 | $1.6k | 173% | — | $36 – $7.8k |
| 25 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · bothfrom % of charges | 1 | $336 | $4.0k | $6.8k | 173% | — | $149 – $32.5k |
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