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
TISSUE ALLGFT MATRION PLACENTAL 5X5CM (25 SQ CM) SOLID SHEET
Based on 39–174 billing samples across every hospital reporting.
Low
$1
Average
$587
Median
$158
High
$288.4k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 1037 hospitals; the 90th percentile is 3.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Methodist Hospitals of Dallas Richardson, TX | $133 | $146 | $79 | 54% | 12 | $4 – $338 |
| 2 | Methodist Hospitals of Dallas Richardson, TX | $133 | $146 | $79 | 54% | 12 | $4 – $338 |
| 3 | GRMC, Inc. Oakland, MD | $313 | $284 | $97 | 34% | 9–90 | $86 – $393 |
| 4 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV | $134 | $252 | $464 | 184% | 6–60 | $127 – $2.4k |
| 5 | Bridgton Hospital Bridgton, ME | $394 | $385 | $38 | 10% | — | $315 – $432 |
| 6 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $138 | $150 | $35 | 23% | — | $120 – $233 |
| 7 | Beth Israel Deaconess Hospital - Needham Needham, MA | $118 | $118 | $39 | 33% | — | $79 – $157 |
| 8 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $81 | $143 | $112 | 78% | — | $73 – $337 |
| 9 | Ingalls Memorial Hospital Harvey, IL | $114 | $117 | $22 | 18% | — | $90 – $147 |
| 10 | USA Health University Hospital Mobile, AL | $127 | $133 | $13 | 10% | — | $125 – $172 |
Ask Claude or any MCP client for HCPCS Q4201 pricing at a specific hospital — see how to connect.