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
$113
Average
$129
Median
$134
High
$140
Each hospital's average Clover rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 1.2× 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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9 hospital rates
iThe hospitals that file a Clover 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 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 2 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 3 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 4 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 5 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 6 | Northwest Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 7 | Northwest Sahurita Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 8 | Northwest Sahurita Hospital LLC Sahuarita, AZ facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 9 | Oro Valley Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
← Payers reporting HCPCS Q4433 · Snapshot 20261111T120946Z-9134e7f7