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
ALLOGRAFT CYGNUS MATRIX 4CM X 6CM ( CHARGE BY CM IMPLANT QTY = 24CM ) -- 585-011
Utica, NY
See all hospitals reporting HCPCS Q4170 →Price type
MVHS, Inc.’s median price of $984 is 444% above the median hospital's median price ($181), higher than 88% of the 1,024 hospitals reporting HCPCS Q4170. 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 | $578 | $567 | $189 | 33% | — | $330 – $793 |
| 2 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $861 | $845 | $282 | 33% | — | $492 – $1.2k |
| 3 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $984 | $966 | $322 | 33% | — | $562 – $1.4k |
| 4 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $984 | $966 | $322 | 33% | — | $562 – $1.4k |
| 5 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $984 | $966 | $322 | 33% | — | $562 – $1.4k |
| 6 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $984 | $966 | $322 | 33% | — | $562 – $1.4k |
| 7 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $1.1k | $1.0k | $345 | 33% | — | $603 – $1.4k |
| 8 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | $355 | 33% | — | $619 – $1.5k |
Last updated: Aug 7, 2026
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