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
Monroe, GA
See all hospitals reporting HCPCS Q4116 →Price type
Piedmont Walton’s median price of $13.9k is 9787% above the median hospital's median price ($141), higher than 97% of the 1,683 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: 9 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 | $248 | — | — | — | $248 – $248 |
| 2 | UnitedHealthcare united healthcare exchange fee schedule · both | $248 | $248 | — | — | — | $248 – $248 |
| 3 | Cigna cigna connect percent of total billed charges · bothfrom % of charges | $10.6k | $12.7k | $8.0k | 63% | — | $532 – $28.1k |
| 4 | Blue Cross Blue Shield blue cross hmo percent of total billed charges · bothfrom % of charges | $10.9k | $13.2k | $8.3k | 63% | — | $549 – $29.0k |
| 5 | Blue Cross Blue Shield blue cross ppo percent of total billed charges · bothfrom % of charges | $11.5k | $13.8k | $8.7k | 63% | — | $577 – $30.4k |
| 6 | Cigna cigna percent of total billed charges · bothfrom % of charges | $14.8k | $17.8k | $11.2k | 63% | — | $744 – $39.2k |
| 7 | First Health first health percent of total billed charges · bothfrom % of charges | $17.3k | $20.8k | $13.1k | 63% | — | $868 – $45.8k |
| 8 | Aetna aetna hmo/ppo percent of total billed charges · bothfrom % of charges | $16.9k | $21.9k | $12.0k | 55% | — | $3.5k – $44.5k |
| 9 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $19.8k | $23.8k | $15.0k | 63% | — | $991 – $52.3k |
| 10 | Phcs phcs percent of total billed charges · bothfrom % of charges | $19.8k | $23.8k | $15.0k | 63% | — | $991 – $52.3k |
| 11 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $21.0k | $25.3k | $15.9k | 63% | — | $1.1k – $55.6k |
| 12 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $22.2k | $26.7k | $16.9k | 63% | — | $1.1k – $58.9k |
Last updated: Jul 1, 2026
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