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 Matrix Amnion 3x4cm Thick <12 Sq Cm>
Low
$0
Average
$662
Median
$447
High
$10.8k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 56 hospitals; the 90th percentile is 2.2× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St Luke's Magic Valley Regional Medical Center, LTD Twin Falls, ID | $442 | $437 | $36 | 8% | 2–20 | $338 – $494 |
| 2 | Hillsdale Hospital Hillsdale, MI | $1.4k | $1.3k | $262 | 20% | 1–10 | $648 – $1.7k |
| 3 | Hca Florida North Florida Hospital NEWBERRY, FL | $0 | $0 | $0 | 72% | — | $0 – $15k |
| 4 | Saint Marys Hospital Waterbury, CT | $243 | $287 | $211 | 74% | — | $73 – $975 |
| 5 | The Mercy Hospital Inc Springfield, MA | $303 | $387 | $172 | 45% | — | $68 – $650 |
| 6 | Saint Alphonsus Regional Medical Center - Boise Boise, ID | $411 | $476 | $219 | 46% | — | $101 – $913 |
| 7 | Saint Francis Hospital and Medical Center Hartford, CT | $178 | $198 | $128 | 65% | — | $53 – $650 |
| 8 | Saint Alphonsus Medical Center - Nampa Nampa, ID | $401 | $470 | $216 | 46% | — | $91 – $822 |
| 9 | Saint Alphonsus Medical Center - Ontario Ontario, OR | $273 | $267 | $192 | 72% | — | $60 – $886 |
| 10 | Johnson Memorial Hospital Stafford Springs, CT | $325 | $423 | $182 | 43% | — | $68 – $650 |
Ask Claude or any MCP client for HCPCS Q4211 pricing at a specific hospital — see how to connect.