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
Derma-gide, 1 sq cm
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$825
Median
$358
High
$288.6k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 930 hospitals; the 90th percentile is 6.4× 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 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $157 | $206 | $119 | 57% | — | $120 – $480 |
| 2 | Beth Israel Deaconess Hospital - Needham Needham, MA | $789 | $789 | $304 | 38% | — | $485 – $1.1k |
| 3 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $281 | $288 | $31 | 11% | — | $255 – $337 |
| 4 | Ingalls Memorial Hospital Harvey, IL | $318 | $595 | $519 | 87% | — | $133 – $1.6k |
| 5 | USA Health University Hospital Mobile, AL | $127 | $133 | $13 | 10% | — | $125 – $172 |
| 6 | Fairview Health Services Edina, MN | $403 | $414 | $181 | 44% | — | $207 – $1.1k |
| 7 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI | $399 | $427 | $110 | 26% | — | $309 – $732 |
| 8 | Hca Florida West Hospital PENSACOLA, FL | $291 | $288 | $11 | 4% | — | $273 – $300 |
| 9 | Mayo Regional Hospital Dover Foxcroft, ME | $303 | $614 | $573 | 93% | — | $23 – $1.8k |
| 10 | Corewell Health Ludington Hospital Ludington, MI | $904 | $604 | $389 | 64% | — | $124 – $1.0k |
Ask Claude or any MCP client for HCPCS Q4203 pricing at a specific hospital — see how to connect.