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
Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure)
LARGO, FL
See all hospitals reporting HCPCS Q4264 →Price type
Hca Florida Largo Hospital’s median price of $464 is 68% above the median hospital's median price ($275), higher than 72% of the 839 hospitals reporting HCPCS Q4264. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $273 | $273 | — | — | — | $273 – $273 |
| 2 | Humana tricare fee schedule · outpatient | $464 | $464 | — | — | — | $464 – $464 |
| 3 | Caresource tricare fee schedule · outpatient | $478 | $478 | — | — | — | $478 – $478 |
Last updated: Mar 1, 2026
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