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
GRAFT TISSUE X MEMBRANE DUAL LAYER PALINGEN 2X3CM DLX020203
Hackensack, NJ
See all hospitals reporting HCPCS Q4354 →Price type
Hmh Hospitals Corporation’s median price of $243 is 16% above the median hospital's median price ($210), higher than 69% 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: 7 payers, 14 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | $9 | 12% | — | $67 – $85 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $93 | $93 | $11 | 12% | — | $82 – $104 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $126 | $126 | $15 | 12% | — | $111 – $140 |
| 4 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $144 | $144 | $17 | 12% | — | $127 – $161 |
| 5 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $144 | $144 | $17 | 12% | — | $127 – $161 |
| 6 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $182 | $182 | $21 | 12% | — | $160 – $203 |
| 7 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $182 | $182 | $21 | 12% | — | $160 – $203 |
| 8 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $182 | $182 | $21 | 12% | — | $160 – $203 |
| 9 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $191 | $191 | $22 | 12% | — | $169 – $213 |
| 10 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $191 | $191 | $22 | 12% | — | $169 – $213 |
| 11 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $208 | $208 | $24 | 12% | — | $184 – $232 |
| 12 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | $28 | 12% | — | $212 – $268 |
| 13 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $339 | $339 | $40 | 12% | — | $300 – $379 |
| 14 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $360 | $360 | $42 | 12% | — | $318 – $403 |
Last updated: Dec 31, 2025
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