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 HUMAN TISSUE W5XL5CM THK0.8-1.7MM THICK HUMAN ACELLULAR DERMIS HYDRATED HD
Fairmont 56031-4575
See all hospitals reporting HCPCS Q4128 →Price type
Mayo Clinic Health System’s median price of $2.6k is 1864% above the median hospital's median price ($133), higher than 82% of the 1,484 hospitals reporting HCPCS Q4128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Mar 31, 2026
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