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 DERM-MAXX OR AMNIO-MAXX LITE PER SQ CM
Prices here combine facility and professional fees. See them separately →Experimental
Low
$55
Average
$217
Median
$66
High
$804
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 9 hospitals; the 90th percentile is 11.9× 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 | Ochsner Clinic Foundation Orleans, LA | $70 | $64 | $38 | 58% | — | $21 – $112 |
| 2 | Wellington Regional Medical Center Wellington, FL | $320 | $804 | $1.1k | 137% | — | $238 – $3.3k |
| 3 | Montefiore Medical Center Bronx, NY | $638 | $638 | — | — | — | $638 – $638 |
| 4 | Ochsner Bayou Llc Raceland, LA | $43 | $55 | $28 | 51% | — | $42 – $134 |
| 5 | Ochsner Medical Center � Hancock Llc Bay St. Louis, MS | $70 | $74 | $21 | 28% | — | $56 – $113 |
| 6 | Southern Regional Medical Corporation Houma, LA | $37 | $57 | $28 | 49% | — | $36 – $107 |
| 7 | East Baton Rouge Medical Center, Llc Baton Rouge, LA | $74 | $58 | $28 | 48% | — | $26 – $97 |
| 8 | Tanner Medical Center - Carrollton Carrollton, GA | $130 | $132 | $4 | 3% | — | $127 – $139 |
| 9 | Ochsner Medical Center � Kenner Llc Kenner, LA | $77 | $66 | $37 | 55% | — | $24 – $125 |
Ask Claude or any MCP client for HCPCS Q4239 pricing at a specific hospital — see how to connect.