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
$2
Average
$387
Median
$165
High
$11.7k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
823 hospitals; the 90th percentile is 5.9× 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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990 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 | Appalachian Regional Healthcare, Inc. Williamson, KY other · outpatient | 1 | $18.9k | $18.9k | — | — | 1–10 | $18.9k – $18.9k |
| 2 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $117 | $117 | — | — | 1–10 | $117 – $117 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $100 | $98 | $3 | 3% | — | $95 – $100 |
| 5 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 3 | $100 | $98 | $3 | 3% | — | $95 – $100 |
| 6 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $140 | $140 | $1 | 1% | — | $139 – $142 |
| 7 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $5.0k | $4.5k | $831 | 19% | — | $3.3k – $5.0k |
| 8 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 2 | $6.1k | $4.8k | $1.9k | 39% | — | $2.1k – $6.1k |
| 9 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $5.9k | $4.5k | $2.0k | 45% | — | $1.6k – $5.9k |
| 10 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 11 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $347 | $347 | $129 | 37% | — | $218 – $475 |
| 12 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $98 | $98 | $26 | 27% | — | $72 – $124 |
| 13 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $514 | $1.6k | $2.4k | 148% | — | $325 – $6.4k |
| 14 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $514 | $1.6k | $2.4k | 148% | — | $325 – $6.4k |
| 15 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 16 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $590 | $1.8k | $2.7k | 148% | — | $374 – $7.3k |
| 17 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 18 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 19 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 20 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 21 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 22 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 23 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 24 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient | 2 | $238 | $238 | $82 | 34% | — | $156 – $319 |
| 25 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient | 2 | $238 | $238 | $82 | 34% | — | $156 – $319 |
← Payers reporting HCPCS Q4197 · Snapshot 20261111T120946Z-9134e7f7