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
Revitalon 1 square cm
Chicago, IL
See all hospitals reporting HCPCS Q4157 →Price type
Advocate Trinity Hospital’s median price of $356 is 75% above the median hospital's median price ($203), higher than 83% of the 838 hospitals reporting HCPCS Q4157. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 3 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna commercial fee schedule · outpatient | $356 | $356 | — | — | — | $356 – $356 |
| 2 | UnitedHealthcare commercial fee schedule · outpatient | $335 | $452 | $165 | 37% | — | $335 – $686 |
| 3 | UnitedHealthcare hmo fee schedule · outpatient | $686 | $686 | — | — | — | $686 – $686 |
Last updated: Nov 4, 2025
See Revitalon skin substitute, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.