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
$69
Average
$164
Median
$163
High
$662
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 3.2× 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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35 hospital rates
iThe hospitals that file a Oscar 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 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $120 | $256 | $538 | 211% | 43–430 | $57 – $3.5k |
| 2 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $70 | $120 | 170% | — | $22 – $824 |
| 4 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $70 | $120 | 170% | — | $22 – $824 |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $52 | $81 | $138 | 170% | — | $25 – $946 |
| 6 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $124 | $227 | $375 | 165% | — | $57 – $1.7k |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $56 | $102 | $169 | 165% | — | $26 – $754 |
| 8 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $97 | $230 | $501 | 218% | — | $39 – $2.3k |
| 9 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $35 | $69 | $127 | 184% | — | $14 – $558 |
| 10 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $85 | $196 | 231% | — | $22 – $1.3k |
| 11 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $41 | $74 | $125 | 168% | — | $19 – $558 |
| 12 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $55 | $86 | $146 | 170% | — | $27 – $1.0k |
| 13 | Mercy Medical Center - Dubuque Dubuque, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $64 | $99 | $169 | 170% | — | $31 – $1.2k |
| 14 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $117 | $165 | $249 | 151% | — | $56 – $1.7k |
| 15 | Mercy Medical Center - Newton Newton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $70 | $120 | 170% | — | $22 – $824 |
| 16 | Mercy Medical Center-Clinton Inc Clinton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $64 | $99 | $169 | 170% | — | $31 – $1.2k |
| 17 | Methodist Hospitals of Dallas Coppell, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 18 | Methodist Hospitals of Dallas Mansfield, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 19 | Methodist Hospitals of Dallas Celina, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 20 | Methodist Hospitals of Dallas Midlothian, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 21 | Methodist Hospitals of Dallas Dallas, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 22 | Methodist Hospitals of Dallas Souhtlake, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 23 | Methodist Hospitals of Dallas Richardson, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 24 | Methodist Hospitals of Dallas Richardson, TX other · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 25 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
← Payers reporting HCPCS Q4433 · Snapshot 20261111T120946Z-9134e7f7