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
$11
Average
$81.4k
Median
$141
High
$4036.1k
Showing only prices reported under the case rate methodology. Choose another in the filter below to change the chart. 50 hospitals; the 90th percentile is 18.4× 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.
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | USA Health University Hospital Mobile, AL | $127 | $133 | $13 | 10% | — | $125 – $172 |
| 2 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX | $131 | $132 | $5 | 4% | — | $125 – $142 |
| 3 | Clovis Community Medical Center Clovis, CA | $160 | $172 | $38 | 22% | — | $160 – $344 |
| 4 | Methodist Medical Center of Illinois Peoria, IL | $133 | $136 | $7 | 5% | — | $133 – $155 |
| 5 | Davis Medical Center Elkins, WV | $119 | $121 | $3 | 2% | — | $118 – $125 |
| 6 | Carle Eureka Hospital Eureka, IL | $133 | $133 | — | — | — | $133 – $133 |
| 7 | VHS Huron Valley-Sinai Hospital Inc Commerce Charter Twp, MI | $11 | $11 | $3 | 33% | — | $5 – $16 |
| 8 | Valley County Hospital Ord, NE | $236 | $236 | — | — | — | $236 – $236 |
| 9 | VHS Harper-Hutzel Hospital Inc Detroit, MI | $11 | $11 | $3 | 33% | — | $5 – $16 |
| 10 | SID Peterson Memorial Hospital Kerrville, TX | $131 | $134 | $10 | 7% | — | $125 – $150 |
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