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
$51
Average
$278
Median
$177
High
$2.6k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 6.5× 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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40 hospital rates
iThe hospitals that file a Highmark 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 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 2 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $123 | $226 | $373 | 165% | — | $57 – $1.7k |
| 3 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 4 | Highland Hospital Rochester, NY fee schedule · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 5 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $173 | $250 | $445 | 178% | — | $76 – $3.1k |
| 6 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 7 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $116 | $240 | $503 | 210% | — | $56 – $3.0k |
| 8 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 9 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $100 | $184 | $425 | 231% | — | $48 – $2.9k |
| 10 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 3 | $204 | $196 | $53 | 27% | — | $127 – $257 |
| 11 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 3 | $177 | $546 | $1.3k | 239% | — | $46 – $7.7k |
| 12 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $86 | $168 | $309 | 184% | — | $35 – $1.4k |
| 13 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $128 | $237 | $545 | 231% | — | $61 – $3.7k |
| 14 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $100 | $180 | $302 | 168% | — | $46 – $1.3k |
| 15 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $71 | $87 | $54 | 62% | — | $34 – $253 |
| 16 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $146 | $658 | $2.0k | 306% | — | $57 – $10.7k |
| 17 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $119 | $220 | $507 | 231% | — | $57 – $3.5k |
| 18 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $119 | $220 | $507 | 231% | — | $57 – $3.5k |
| 19 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $119 | $254 | $535 | 211% | — | $57 – $3.5k |
| 20 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 3 | $175 | $428 | $1.0k | 237% | — | $46 – $7.1k |
| 21 | Plymouth Medical Center Plymouth, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $72 | $133 | $308 | 231% | — | $34 – $2.1k |
| 22 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $122 | $295 | $595 | 202% | — | $35 – $3.2k |
| 23 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $141 | $279 | $540 | 193% | — | $57 – $2.6k |
| 24 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $78 | $133 | 170% | — | $24 – $916 |
| 25 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $119 | $185 | $315 | 170% | — | $57 – $2.2k |
← Payers reporting HCPCS Q4433 · Snapshot 20261111T120946Z-9134e7f7