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 Extra Fenestrated Puraply 25cm 515-071 Puraplyam Xt-Com4.91x4.91ef
Low
$148
Average
$159
Median
$151
High
$179
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6 hospital rates
iThe hospitals that file a Medcost 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 | Appalachian Regional Behavioral Health Hospital Linville, NC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 2 | Appalachian Regional Behavioral Health Hospital Linville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 3 | Charles A. Cannon Jr. Memorial Hospital, Inc Cannon, NC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $153 | $153 | $13 | 9% | — | $140 – $166 |
| 4 | Charles A. Cannon Jr. Memorial Hospital, Inc Cannon, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $143 | $143 | $13 | 9% | — | $130 – $156 |
| 5 | Watauga Medical Center, Inc Boone, NC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $154 | $154 | $3 | 2% | — | $151 – $157 |
| 6 | Watauga Medical Center, Inc Boone, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $148 | $148 | $3 | 2% | — | $145 – $151 |
← Payers reporting HCPCS Q4197 · Snapshot 20261111T120946Z-9134e7f7