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
$13
Average
$2.2k
Median
$198
High
$27.1k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
200 hospitals; the 90th percentile is 311.5× 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.
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262 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 | Piedmont Athens Regional Athens, GA percent of total billed charges · bothfrom % of charges | 2 | $1.2k | $1.2k | $1.1k | 89% | 65–416 | $136 – $2.3k |
| 2 | Piedmont Henry Stockbridge, GA percent of total billed charges · bothfrom % of charges | 1 | $8.4k | $8.4k | — | — | 39–390 | $8.4k – $8.4k |
| 3 | Piedmont Atlanta Atlanta, GA percent of total billed charges · bothfrom % of charges | 1 | $90 | $90 | — | — | 24 | $90 – $90 |
| 4 | ADVENTIST HEALTH DELANO Delano, CA other · outpatient | 1 | $45.3k | $45.3k | — | — | — | $45.3k – $45.3k |
| 5 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 6 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $1.2k | $1.2k | $61 | 5% | — | $1.1k – $1.2k |
| 7 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 3 | $4.1k | $4.0k | $1.7k | 42% | — | $1.3k – $6.6k |
| 8 | ADVENTIST HEALTH TULARE Tulare, CA case rate · outpatient | 2 | $9.8k | $9.0k | $4.2k | 46% | — | $3.1k – $14.0k |
| 9 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 3 | $2.9k | $3.2k | $1.9k | 60% | — | $2.1k – $8.5k |
| 10 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 11 | Barnes Jewish Hospital St. Louis, MO other · both | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 12 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $7.8k | $8.3k | $6.7k | 81% | — | $4 – $26.0k |
| 13 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 14 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 5 | $4.2k | $6.6k | $7.3k | 111% | — | $74 – $41.9k |
| 15 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $3.9k | $6.3k | $6.7k | 107% | — | $119 – $38.5k |
| 16 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 17 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 5 | $4.2k | $6.6k | $7.3k | 111% | — | $74 – $41.9k |
| 18 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 19 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 5 | $4.2k | $6.6k | $7.3k | 111% | — | $74 – $41.9k |
| 20 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 21 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $3.2k | $5.2k | $5.5k | 107% | — | $98 – $31.7k |
| 22 | Baylor Scott & White Medical Center - Austin Austin, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $3.2k | $5.2k | $5.5k | 107% | — | $98 – $31.7k |
| 23 | Baylor Scott & White Medical Center - Brenham Brenham, TX facility · percent of total billed charges · outpatientfrom % of charges | 5 | $2.8k | $4.4k | $5.2k | 118% | — | $29 – $31.7k |
| 24 | Baylor Scott & White Medical Center - Buda Buda, TX facility · fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 25 | Baylor Scott & White Medical Center - Buda Buda, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $3.2k | $5.2k | $5.5k | 107% | — | $98 – $31.7k |
← Payers reporting HCPCS Q4433 · Snapshot 20261111T120946Z-9134e7f7