Alloderm skin graft material at MVHS, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DERMASPAN 4X4 (IMPLANT QTY 16) - 48-0700404

Utica, NY

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How this price compares nationally

MVHS, Inc.’s median price of $239 is 69% above the median hospital's median price ($142), higher than 62% of the 1,693 hospitals reporting HCPCS Q4116. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4116 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 6 payers, 9 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	Excellus excellus bcbs medicaid percent of total billed charges · bothfrom % of charges	$97	$103	$34	33%	—	$63 – $156
2	UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges	$147	$156	$51	33%	—	$95 – $236
3	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$218	$232	$76	33%	—	$142 – $351
4	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$250	$266	$86	33%	—	$162 – $401
5	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$250	$266	$86	33%	—	$162 – $401
6	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$250	$266	$86	33%	—	$162 – $401
7	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$250	$266	$86	33%	—	$162 – $401
8	UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges	$267	$285	$93	33%	4–40	$174 – $430
9	Humana humana hmo/pos percent of total billed charges · bothfrom % of charges	$275	$292	$95	33%	—	$178 – $442

Last updated: Aug 7, 2026

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