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
$0
Average
$4.2k
Median
$4.3k
High
$10.0k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 571.1× 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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14 hospital rates
iThe hospitals that file a Phcs 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 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $10.0k | $10.0k | $9.0k | 90% | — | $980 – $18.9k |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $8.2k | $8.2k | $7.4k | 90% | — | $805 – $15.6k |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $7.3k | $7.3k | $6.6k | 90% | — | $722 – $14.0k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3.9k | $3.9k | $3.5k | 90% | — | $384 – $7.4k |
| 5 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $7.3k | $7.3k | $6.6k | 90% | — | $722 – $14.0k |
| 6 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 9 | Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 10 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 11 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 12 | Overlook Medical Center Summit, NJ percent of total billed charges · bothfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 13 | Westchester Medical Center Valhalla, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 14 | Westchester Medical Center Valhalla, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
← Payers reporting HCPCS Q4197 · Snapshot 20261111T120946Z-9134e7f7