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
MEMBRANE PLACENTA TISS ENVERSE SHEET 2X3CM-COST PER SQ CM
Philadelphia, PA
See all hospitals reporting HCPCS Q4258 →Price type
Nazareth Hospital’s median price of $802 is 489% above the median hospital's median price ($136), higher than 95% of the 1,064 hospitals reporting HCPCS Q4258. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Mar 31, 2026
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