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 8X4CM GRAFTJACKET NOW THK1-2MM STD ACELLULAR
Macon, GA
See all hospitals reporting HCPCS Q4107 →Price type
Piedmont Macon’s median price of $8.6k is 3899% above the median hospital's median price ($216), higher than 98% of the 1,589 hospitals reporting HCPCS Q4107. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 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 | UnitedHealthcare united healthcare fee schedule · both | $248 | $248 | — | — | — | $248 – $248 |
| 2 | UnitedHealthcare united healthcare exchange fee schedule · both | $248 | $248 | — | — | — | $248 – $248 |
| 3 | Phcs phcs percent of total billed charges · bothfrom % of charges | $8.6k | $7.4k | $3.6k | 48% | — | $267 – $10.7k |
| 4 | Cigna cigna percent of total billed charges · bothfrom % of charges | $9.7k | $8.3k | $4.0k | 48% | — | $303 – $12.1k |
| 5 | First Health first health percent of total billed charges · bothfrom % of charges | $10.0k | $8.6k | $4.1k | 48% | — | $312 – $12.4k |
| 6 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $11.4k | $9.8k | $4.7k | 48% | — | $356 – $14.2k |
| 7 | Aetna aetna hmo percent of total billed charges · bothfrom % of charges | $11.3k | $10.7k | $2.1k | 20% | — | $7.1k – $13.0k |
| 8 | Aetna aetna ppo percent of total billed charges · bothfrom % of charges | $11.3k | $10.7k | $2.1k | 20% | — | $7.1k – $13.0k |
| 9 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $12.9k | $11.0k | $5.3k | 48% | — | $401 – $16.0k |
Last updated: Jul 1, 2026
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