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
ALLOGRAFT TISSUE PLACENTAL FREEZE DRIED MESHED MATRION 5 X 5CM
Alexandria, VA
See all hospitals reporting HCPCS Q4201 →Price type
Inova Alexandria Hospital’s median price of $127 is 9% below the median hospital's median price ($139), higher than 37% of the 1,037 hospitals reporting HCPCS Q4201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Apr 1, 2026
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