Biovance amniotic tissue graft, per square centimeter 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MESH OASIS ULTRA TRI-LAYER 7 X 20CM ( IMPLANT QTY = 140CM ) -- # 8213-0000-11

Utica, NY

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How this price compares nationally

MVHS, Inc.’s median price of $58 is 67% below the median hospital's median price ($174), higher than 2% of the 1,089 hospitals reporting HCPCS Q4154. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4154 at MVHS, Inc.

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	$32	$38	$10	27%	—	$26 – $50
2	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$47	$56	$15	27%	—	$38 – $75
3	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$54	$64	$17	27%	—	$44 – $85
4	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$54	$64	$17	27%	—	$44 – $85
5	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$54	$64	$17	27%	—	$44 – $85
6	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$54	$64	$17	27%	—	$44 – $85
7	UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges	$58	$69	$19	27%	—	$47 – $91
8	Humana humana hmo/pos percent of total billed charges · bothfrom % of charges	$59	$71	$19	27%	—	$48 – $94

Last updated: Aug 7, 2026

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