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
$965
Median
$252
High
$56.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1480 hospitals; the 90th percentile is 18.8× 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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2,259 hospital rates
iThe hospitals that file a UnitedHealthcare 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 Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $125 | $125 | — | — | 32 | $125 – $125 |
| 2 | Appalachian Regional Healthcare, Inc. Williamson, KY other · outpatient | 1 | $127 | $127 | — | — | 26–260 | $127 – $127 |
| 3 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 24 | $63 – $63 |
| 4 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $334 | $1.3k | $1.5k | 117% | 10–100 | $250 – $4.0k |
| 5 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 2 | $125 | $125 | — | — | 8–80 | $125 – $125 |
| 6 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 2 | $125 | $125 | — | — | 8–80 | $125 – $125 |
| 7 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 6–60 | $1.4k – $1.4k |
| 8 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $418 | $654 | $621 | 95% | 1–10 | $190 – $4.0k |
| 9 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 10 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $77 | $77 | $32 | 41% | 1–10 | $45 – $109 |
| 11 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $1.9k | $2.0k | $1.1k | 54% | — | $758 – $3.9k |
| 12 | ADVENTIST HEALTH DELANO Delano, CA other · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 13 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $1.2k | $747 | 64% | — | $405 – $1.9k |
| 14 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $139 | $209 | $113 | 54% | — | $105 – $346 |
| 15 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $513 | $513 | — | — | — | $513 – $513 |
| 16 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $127 | $131 | $6 | 4% | — | $127 – $139 |
| 17 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 3 | $205 | $249 | $176 | 71% | — | $61 – $479 |
| 18 | ADVENTIST HEALTH TULARE Tulare, CA other · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 19 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $418 | $418 | $11 | 3% | — | $407 – $429 |
| 20 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $1.5k | $1.5k | $481 | 32% | — | $964 – $2.1k |
| 21 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $5.6k | $7.4k | $4.7k | 63% | — | $2.8k – $13.9k |
| 22 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $2.8k | $3.4k | $1.6k | 48% | — | $1.7k – $5.6k |
| 23 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $4.2k | $6.0k | $4.8k | 80% | — | $1.7k – $13.9k |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $227 | $227 | — | — | — | $227 – $227 |
| 25 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $174 | $157 | $143 | 91% | — | $19 – $700 |
← Payers reporting HCPCS Q4196 · Snapshot 20261111T120946Z-9134e7f7