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
MTRX TISS 5X4IN DRGN + DURA BVN CLGN
Cheraw, SC
See all hospitals reporting HCPCS Q4100 →Price type
McLeod Health’s median price of $3.7k is 100% above the median hospital's median price ($1.8k), higher than 76% of the 968 hospitals reporting HCPCS Q4100. 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, 4 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 | Cigna commercial percent of total billed charges · bothfrom % of charges | $1.8k | $4.9k | $5.8k | 119% | — | $44 – $18.9k |
| 2 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $2.2k | $5.9k | $7.0k | 119% | — | $53 – $22.7k |
| 3 | Aetna commercial percent of total billed charges · bothfrom % of charges | $5.9k | $7.0k | $6.6k | 94% | — | $167 – $23.3k |
| 4 | Tricare dha percent of total billed charges · bothfrom % of charges | $6.9k | $8.3k | $7.8k | 94% | — | $199 – $27.6k |
Last updated: Jul 20, 2026
See Amniotic membrane allograft, 9 x 20 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.