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
ALLOGRAFT PLACENTAL FENESTR SHEET 2X3CM (6 SQ CM)
Low
$85
Average
$420
Median
$151
High
$7.9k
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 52 hospitals; the 90th percentile is 9.2× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Methodist Hospitals of Dallas Richardson, TX | $133 | $170 | $62 | 37% | 12 | $39 – $338 |
| 2 | Methodist Hospitals of Dallas Richardson, TX | $133 | $170 | $62 | 37% | 12 | $39 – $338 |
| 3 | Porter Hospital LLC Valparaiso, IN | $211 | $215 | $54 | 25% | — | $117 – $537 |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV | $133 | $151 | $47 | 31% | — | $82 – $335 |
| 5 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV | $133 | $151 | $30 | 20% | — | $127 – $221 |
| 6 | Wheeling Hospital, Inc. Wheeling, WV | $133 | $168 | $107 | 64% | — | $82 – $536 |
| 7 | Reynolds Memorial Hospital, Inc. Glen Dale, WV | $133 | $144 | $30 | 21% | — | $82 – $221 |
| 8 | Herbert J Thomas Memorial Hospital Association South Charleston, WV | $134 | $222 | $180 | 81% | — | $127 – $640 |
| 9 | Uniontown Hospital Uniontown, PA | $134 | $166 | $53 | 32% | — | $127 – $295 |
| 10 | City Hospital, Inc. Martinsburg, WV | $134 | $151 | $31 | 20% | — | $127 – $221 |
Ask Claude or any MCP client for HCPCS Q4201 pricing at a specific hospital — see how to connect.