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 DERMAPURE 7 X 10CM
Pasadena, TX
See all hospitals reporting HCPCS Q4152 →Price type
Pmc Hospital, Llc’s median price of $8.0k is 6175% above the median hospital's median price ($127), higher than 99% of the 1,112 hospitals reporting HCPCS Q4152. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 42 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 commercial|exchange fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 2 | UnitedHealthcare commercial|charter fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 3 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 4 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 5 | Cigna commercial|ppo fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 6 | Cigna commercial|hmo fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 7 | Cigna commercial|surefit fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 8 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $5.0k | $5.1k | $1.7k | 34% | — | $2.9k – $7.4k |
| 9 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $5.2k | $5.3k | $1.8k | 34% | — | $3.0k – $7.8k |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $5.2k | $5.3k | $1.8k | 34% | — | $3.0k – $7.8k |
| 11 | Blue Cross Blue Shield commercial|blue premier fee schedule · inpatient | $5.9k | $6.0k | $2.0k | 34% | — | $3.4k – $8.8k |
| 12 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $6.2k | $6.3k | $2.1k | 34% | — | $3.5k – $9.2k |
| 13 | UnitedHealthcare commercial|exchange fee schedule · inpatient | $6.2k | $6.3k | $2.1k | 34% | — | $3.5k – $9.2k |
| 14 | Aetna commercial|hmo fee schedule · inpatient | $6.3k | $6.5k | $2.3k | 35% | — | $3.4k – $10.3k |
| 15 | Aetna commercial|hmo fee schedule · outpatient | $6.3k | $6.5k | $2.3k | 35% | — | $3.4k – $10.3k |
| 16 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $6.4k | $6.5k | $2.2k | 34% | — | $3.7k – $9.6k |
| 17 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · inpatient | $6.6k | $6.7k | $2.3k | 34% | — | $3.8k – $9.9k |
| 18 | Aetna commercial|ppo fee schedule · inpatient | $6.9k | $7.0k | $2.4k | 34% | — | $3.9k – $10.3k |
| 19 | Aetna commercial|ppo fee schedule · outpatient | $6.9k | $7.0k | $2.4k | 34% | — | $3.9k – $10.3k |
| 20 | Blue Cross Blue Shield commercial|hmo fee schedule · inpatient | $6.9k | $7.0k | $2.4k | 34% | — | $3.9k – $10.3k |
| 21 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $7.1k | $7.2k | $2.5k | 34% | — | $4.1k – $10.6k |
| 22 | Cigna commercial|hmo fee schedule · inpatient | $7.1k | $7.2k | $2.5k | 34% | — | $4.1k – $10.6k |
| 23 | Cigna commercial|ppo fee schedule · inpatient | $7.1k | $7.2k | $2.5k | 34% | — | $4.1k – $10.6k |
| 24 | Cigna commercial|surefit fee schedule · inpatient | $7.1k | $7.2k | $2.5k | 34% | — | $4.1k – $10.6k |
| 25 | Blue Cross Blue Shield commercial|ppo fee schedule · inpatient | $7.3k | $7.5k | $2.5k | 34% | — | $4.2k – $11.0k |
Last updated: Feb 28, 2026
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