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 ACELLULAR DERMAL 4 X 7CM MATRIX HYDRATED COLL-E-DERM (805087)
Biddeford, ME
See all hospitals reporting HCPCS Q4193 →Price type
MaineHealth’s median price of $1.8k is 402% above the median hospital's median price ($364), higher than 75% of the 902 hospitals reporting HCPCS Q4193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 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 | Aetna hmo percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | $83 | 5% | — | $1.7k – $1.8k |
| 2 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $83 | 5% | — | $1.7k – $1.8k |
| 3 | Cigna oap percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | $84 | 5% | — | $1.7k – $1.8k |
| 4 | Cigna oap percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $84 | 5% | — | $1.7k – $1.8k |
| 5 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | $86 | 5% | — | $1.7k – $1.9k |
| 6 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $86 | 5% | — | $1.7k – $1.9k |
| 7 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | $86 | 5% | — | $1.7k – $1.9k |
| 8 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $86 | 5% | — | $1.7k – $1.9k |
| 9 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | $93 | 5% | — | $1.9k – $2.0k |
| 10 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $93 | 5% | — | $1.9k – $2.0k |
| 11 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | $94 | 5% | — | $1.9k – $2.1k |
| 12 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $94 | 5% | — | $1.9k – $2.1k |
| 13 | Cigna oap fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 14 | Cigna ppo fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Sep 9, 2025
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