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
$48
Average
$606
Median
$191
High
$10.1k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
177 hospitals; the 90th percentile is 10.0× 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.
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198 hospital rates
iThe hospitals that file a Caresource 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 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.8k | $5.8k | — | — | 8–80 | $5.8k – $5.8k |
| 2 | Princeton Community Hospital Assn Inc. Princeton, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | 2–20 | $4.2k – $4.2k |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $213 | $1.1k | $2.3k | 216% | — | $184 – $9.9k |
| 5 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $179 | $179 | $58 | 32% | — | $121 – $238 |
| 6 | Avita Ontario Hospital Ontario, OH percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN other · outpatient | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 1 | $2.6k | $3.5k | $2.3k | 65% | — | $2.3k – $10.5k |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY other · outpatient | 1 | $2.8k | $3.9k | $2.5k | 65% | — | $2.6k – $11.6k |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY other · outpatient | 1 | $2.6k | $3.5k | $2.3k | 65% | — | $2.3k – $10.5k |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY other · outpatient | 1 | $2.6k | $3.5k | $2.3k | 65% | — | $2.3k – $10.5k |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY other · outpatient | 1 | $2.6k | $3.5k | $2.3k | 65% | — | $2.3k – $10.5k |
| 13 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY other · outpatient | 1 | $2.6k | $3.5k | $2.3k | 65% | — | $2.3k – $10.5k |
| 14 | Baptist Medical Center of the Beaches, INC Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 15 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 16 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 17 | Bucyrus Community Hospital Bucyrus, OH percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | CHI MEMORIAL HOSPITAL - GEORGIA Ringgold, GA fee schedule · outpatient | 1 | $67 | $71 | $13 | 19% | — | $57 – $89 |
| 19 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $161 | $161 | $28 | 18% | — | $133 – $190 |
| 20 | Catawba Valley Medical Center Hickory, NC fee schedule · outpatient | 1 | $270 | $270 | — | — | — | $270 – $270 |
| 21 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $3.4k | $6.1k | $8.0k | 132% | — | $154 – $28.3k |
| 22 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 23 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 24 | Coffee Regional Medical Center, Inc Douglas, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $103 | $26 | 25% | — | $85 – $163 |
| 25 | Columbus Regional Hospital Columbus, IN fee schedule · both | 2 | $49 | $49 | — | — | — | $49 – $49 |
← Payers reporting HCPCS Q4196 · Snapshot 20261111T120946Z-9134e7f7