HCPCS Q4289
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
Revoshield+ amnio, per sq cm
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$1.7k
Median
$1.1k
High
$289.3k
Showing prices across every billing methodology. Pick one in the filter below to narrow the chart. 837 hospitals; the 90th percentile is 21.5× 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.
Filter by billing methodology
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $140 | $450 | $800 | 178% | — | $120 – $2.6k |
| 2 | Beth Israel Deaconess Hospital - Needham Needham, MA | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 3 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $1.4k | $1.2k | $488 | 42% | — | $337 – $1.6k |
| 4 | Ingalls Memorial Hospital Harvey, IL | $2.0k | $1.7k | $1.0k | 62% | — | $133 – $3.1k |
| 5 | USA Health University Hospital Mobile, AL | $127 | $133 | $13 | 10% | — | $125 – $172 |
| 6 | Fairview Health Services Edina, MN | $2.0k | $2.4k | $596 | 25% | — | $1.6k – $3.1k |
| 7 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI | $2.5k | $2.6k | $684 | 26% | — | $1.9k – $4.5k |
| 8 | Hca Florida West Hospital PENSACOLA, FL | $1.6k | $1.1k | $615 | 54% | — | $273 – $1.6k |
| 9 | Mayo Regional Hospital Dover Foxcroft, ME | $1.9k | $1.8k | $686 | 39% | — | $8 – $2.7k |
| 10 | Kettering Medical Center Miamisburg, OH | $295 | $1.2k | $1.4k | 117% | — | $123 – $4.5k |
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