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
MATRIX TISSUE 20X16CM ALLODERM SELECT THK.4-2.4MM THICK
Augusta, GA
See all hospitals reporting HCPCS Q4116 →Price type
Piedmont Augusta’s median price of $10.5k is 7295% above the median hospital's median price ($142), higher than 96% of the 1,688 hospitals reporting HCPCS Q4116. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 12 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 united healthcare fee schedule · both | $248 | $245 | $16 | 7% | — | $150 – $248 |
| 2 | UnitedHealthcare united healthcare exchange fee schedule · both | $248 | $245 | $16 | 7% | — | $150 – $248 |
| 3 | Bcbs Sc bcbs south carolina exchange percent of total billed charges · bothfrom % of charges | $4.0k | $4.7k | $3.1k | 66% | — | $24 – $10.6k |
| 4 | Blue Cross Blue Shield blue cross south carolina percent of total billed charges · bothfrom % of charges | $7.7k | $9.1k | $6.0k | 66% | — | $47 – $20.5k |
| 5 | Medcost medcost percent of total billed charges · bothfrom % of charges | $9.8k | $11.6k | $7.7k | 66% | — | $60 – $26.1k |
| 6 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $10.9k | $12.8k | $8.5k | 66% | — | $66 – $28.8k |
| 7 | Phcs phcs percent of total billed charges · bothfrom % of charges | $10.9k | $12.8k | $8.5k | 66% | — | $66 – $28.8k |
| 8 | Cigna cigna percent of total billed charges · bothfrom % of charges | $16.8k | $19.8k | $13.1k | 66% | — | $102 – $44.5k |
| 9 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $18.3k | $21.6k | $14.3k | 66% | — | $111 – $48.4k |
| 10 | Aetna aetna hmo percent of total billed charges · bothfrom % of charges | $17.0k | $22.2k | $12.1k | 54% | — | $3.5k – $44.5k |
| 11 | Aetna aetna ppo percent of total billed charges · bothfrom % of charges | $17.0k | $22.2k | $12.1k | 54% | — | $3.5k – $44.5k |
| 12 | First Health first health percent of total billed charges · bothfrom % of charges | $21.0k | $24.8k | $16.4k | 66% | — | $127 – $55.6k |
Last updated: Jul 1, 2026
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