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
MESH XCM BIOLOGIC TISSUE MATRIX 8CM X 16CM ( IMPLANT QTY = 128CM ) -- # XM106.081S
Utica, NY
See all hospitals reporting HCPCS Q4130 →Price type
MVHS, Inc.’s median price of $143 is 28% below the median hospital's median price ($200), higher than 45% of the 1,244 hospitals reporting HCPCS Q4130. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 8 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 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $83 | $83 | $1 | 1% | — | $83 – $84 |
| 2 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $124 | $124 | $1 | 1% | — | $123 – $125 |
| 3 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $142 | $142 | $1 | 1% | — | $141 – $143 |
| 4 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $142 | $142 | $1 | 1% | — | $141 – $143 |
| 5 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $142 | $142 | $1 | 1% | — | $141 – $143 |
| 6 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $142 | $142 | $1 | 1% | — | $141 – $143 |
| 7 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $152 | $152 | $1 | 1% | — | $151 – $153 |
| 8 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $156 | $156 | $1 | 1% | — | $155 – $158 |
Last updated: Aug 7, 2026
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