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
Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure)
Prices here combine facility and professional fees. See them separately →Experimental
Low
$98
Average
$221
Median
$210
High
$918
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 327 hospitals; the 90th percentile is 2.7× 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 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $337 | $337 | — | — | — | $337 – $337 |
| 2 | Hca Florida West Hospital PENSACOLA, FL | $273 | $273 | — | — | — | $273 – $273 |
| 3 | Hoopeston Community Memorial Hospital Hoopeston, IL | $133 | $133 | — | — | — | $133 – $133 |
| 4 | Newark-Wayne Community Hospital Newark, NY | $186 | $186 | $66 | 35% | — | $121 – $252 |
| 5 | Methodist Hospital Hill Country Fredericksburg, TX | $191 | $180 | $34 | 19% | — | $113 – $210 |
| 6 | Hca Healthone Northeast Er THORNTON, CO | $381 | $324 | $81 | 25% | — | $210 – $381 |
| 7 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT | $126 | $130 | $5 | 4% | — | $126 – $139 |
| 8 | Hca Florida Gulf Coast Hospital PANAMA CITY, FL | $210 | $210 | — | — | — | $210 – $210 |
| 9 | Yuma Regional Medical Center Yuma, AZ | $133 | $133 | — | — | — | $133 – $133 |
| 10 | Hca Florida Lehigh Hospital LEHIGH ACRES, FL | $273 | $273 | — | — | — | $273 – $273 |
Ask Claude or any MCP client for HCPCS Q4415 pricing at a specific hospital — see how to connect.