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
BONE ACELLULAR DERM MATRIX 2X4CM 0.4-1.0MM ALLOMEND-COST PER SQ CM-8SQ CM
Low
$127
Average
$11.0k
Median
$256
High
$122.9k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
86 hospitals; the 90th percentile is 51.1× 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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87 hospital rates
iThe hospitals that file a Ambetter 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 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY other · outpatient | 2 | $99.8k | $116.4k | $48.4k | 42% | — | $57.2k – $189.6k |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN other · outpatient | 1 | $73.5k | $87.1k | $37.3k | 43% | — | $44.5k – $147.7k |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 2 | $99.8k | $116.4k | $48.4k | 42% | — | $57.2k – $189.6k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY other · outpatient | 2 | $105.4k | $122.9k | $51.1k | 42% | — | $60.3k – $200.2k |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY other · outpatient | 2 | $94.3k | $111.8k | $47.9k | 43% | — | $57.2k – $189.6k |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY other · outpatient | 2 | $94.3k | $111.8k | $47.9k | 43% | — | $57.2k – $189.6k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY other · outpatient | 2 | $94.3k | $111.8k | $47.9k | 43% | — | $57.2k – $189.6k |
| 8 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY other · outpatient | 2 | $94.3k | $111.8k | $47.9k | 43% | — | $57.2k – $189.6k |
| 9 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 10 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 11 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 12 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 13 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 14 | Baylor Scott & White Medical Center - Irving Irving, TX facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 15 | Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 16 | Baylor Scott & White Medical Center - McKinney McKinney, TX facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 17 | Baylor Scott & White Medical Center - Plano Plano, TX facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 18 | Baylor Scott & White Medical Center at Waxahachie Waxahachie, TX facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 19 | Baylor Scott & White The Heart Hospital - Denton Denton, TX facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 20 | Baylor Scott & White The Heart Hospital - Plano Plano, TX facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 21 | Baylor University Medical Center Dallas, TX facility · fee schedule · outpatient | 1 | $269 | $269 | — | — | — | $269 – $269 |
| 22 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 23 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $147 | $228 | $388 | 170% | — | $70 – $2.7k |
| 24 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 25 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
← Payers reporting HCPCS Q4433 · Snapshot 20261111T120946Z-9134e7f7