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
Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)
CONROE, TX
See all hospitals reporting HCPCS Q4354 →Price type
Hca Houston Healthcare Conroe’s median price of $210 is about the same as the median hospital's median price ($210), higher than 47% of the 520 hospitals reporting HCPCS Q4354. 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, 11 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 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Blue Cross Blue Shield bav fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Blue Cross Blue Shield hmo fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 6 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 7 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 8 | UnitedHealthcare smallgroup fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 9 | Cigna csn fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | Cigna openaccessplus fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 11 | Cigna ppo fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
Last updated: May 14, 2026
See Palingen dual-layer membrane per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.