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 FISH-SKIN KERECIS MARGIEN 3X3 MESHED -- # 50200N43B0D
Utica, NY
See all hospitals reporting HCPCS Q4158 →Price type
MVHS, Inc.’s median price of $9.4k is 6105% above the median hospital's median price ($152), higher than 99% of the 1,530 hospitals reporting HCPCS Q4158. 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, 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 | $4.6k | $4.6k | $339 | 7% | — | $4.2k – $4.9k |
| 2 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $5.2k | $5.2k | $385 | 7% | — | $4.8k – $5.6k |
| 3 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $6.9k | $6.9k | $513 | 7% | — | $6.4k – $7.4k |
| 4 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $10.3k | $10.3k | $764 | 7% | — | $9.6k – $11.1k |
| 5 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $11.8k | $11.8k | $873 | 7% | — | $10.9k – $12.7k |
| 6 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $11.8k | $11.8k | $873 | 7% | — | $10.9k – $12.7k |
| 7 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $11.8k | $11.8k | $873 | 7% | — | $10.9k – $12.7k |
| 8 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $11.8k | $11.8k | $873 | 7% | — | $10.9k – $12.7k |
| 9 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $13.0k | $13.0k | $962 | 7% | — | $12.0k – $14.0k |
Last updated: Aug 7, 2026
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