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
Pma skin substitute product, not otherwise specified (list in addition to primary procedure)
Low
$13
Average
$266
Median
$74
High
$7.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
105 hospitals; the 90th percentile is 15.2× 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.
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107 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 2 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 4 | $286 | $270 | $76 | 28% | — | $152 – $356 |
| 3 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 4 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 5 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX fee schedule · outpatient | 5 | $17 | $16 | $3 | 16% | — | $13 – $20 |
| 6 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX fee schedule · outpatient | 5 | $17 | $16 | $3 | 16% | — | $13 – $20 |
| 7 | HCA HOUSTON HEALTHCARE WEST STAFFORD, TX fee schedule · outpatient | 5 | $17 | $16 | $3 | 16% | — | $13 – $20 |
| 8 | HCA Houston Healthcare North Cypress CYPRESS, TX fee schedule · outpatient | 5 | $17 | $16 | $3 | 16% | — | $13 – $20 |
| 9 | HEART HOSP OF AUSTIN Austin, TX fee schedule · outpatient | 6 | $22 | $20 | $4 | 22% | — | $14 – $25 |
| 10 | HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX fee schedule · outpatient | 6 | $22 | $20 | $4 | 22% | — | $14 – $25 |
| 11 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 2 | $124 | $124 | — | — | — | $124 – $124 |
| 12 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 2 | $124 | $124 | — | — | — | $124 – $124 |
| 13 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 2 | $124 | $124 | — | — | — | $124 – $124 |
| 14 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 2 | $124 | $124 | — | — | — | $124 – $124 |
| 15 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 16 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 5 | $763 | $724 | $138 | 19% | — | $161 – $776 |
| 17 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 18 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 19 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 20 | Kalkaska Memorial Health Center Kalkaska, MI facility · fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 21 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $161 | $495 | $1.1k | 232% | — | $161 – $5.0k |
| 22 | Kaweah Health Medical Center Visalia, CA facility · other · outpatient | 2 | $2.9k | $3.9k | $3.5k | 89% | — | $451 – $14.3k |
| 23 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $159 | $931 | $1.8k | 198% | — | $159 – $7.0k |
| 24 | Kaweah Health Mental Health Hospital Visalia, CA facility · other · outpatient | 2 | $2.9k | $3.8k | $3.3k | 86% | — | $449 – $13.5k |
| 25 | MEDICAL CITY MCKINNEY MCKINNEY, TX fee schedule · outpatient | 6 | $14 | $13 | $2 | 13% | — | $11 – $15 |
← Payers reporting HCPCS Q4431 · Snapshot 20261113T090226Z-3ce6c0b8