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 (SUP SHELL Q4205) MEMBRANE GRAFT OR WRAP SQ CM
Low
$1
Average
$2.4k
Median
$8
High
$28.1k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 2659.3× 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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68 hospital rates
iThe hospitals that file a MultiPlan 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 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $1.9k | $1.9k | $515 | 27% | — | $1.1k – $3.2k |
| 2 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | $515 | 27% | — | $1.1k – $3.2k |
| 3 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 6 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 7 | Duplin General Hospital, Inc. Kenansville, NC percent of total billed charges · bothfrom % of charges | 1 | $522 | $522 | — | — | — | $522 – $522 |
| 8 | East Carolina Health Ahoskie, NC percent of total billed charges · bothfrom % of charges | 1 | $522 | $522 | — | — | — | $522 – $522 |
| 9 | East Carolina Health-Bertie Windsor, NC percent of total billed charges · bothfrom % of charges | 1 | $533 | $533 | — | — | — | $533 – $533 |
| 10 | East Carolina Health-Chowan, Inc. Edenton, NC percent of total billed charges · bothfrom % of charges | 1 | $522 | $522 | — | — | — | $522 – $522 |
| 11 | East Carolina Health-Heritage, Inc. Tarboro, NC percent of total billed charges · bothfrom % of charges | 1 | $522 | $522 | — | — | — | $522 – $522 |
| 12 | HCA FLORIDA NORTH FLORIDA HOSPITAL GAINESVILLE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 5% | — | $1 – $1 |
| 13 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $28.1k | $28.1k | — | — | — | $28.1k – $28.1k |
| 14 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28.1k | $28.1k | — | — | — | $28.1k – $28.1k |
| 15 | Hendrick Medical Center Brownwood, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $24.0k | $24.0k | — | — | — | $24.0k – $24.0k |
| 16 | Hendrick Medical Center Brownwood, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24.0k | $24.0k | — | — | — | $24.0k – $24.0k |
| 17 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $28.1k | $28.1k | — | — | — | $28.1k – $28.1k |
| 18 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28.1k | $28.1k | — | — | — | $28.1k – $28.1k |
| 19 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 22 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 23 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 24 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 25 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
← Payers reporting HCPCS Q4205 · Snapshot 20261112T181611Z-3fa9fb76