Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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HCPCS · across United States

Q4122 — Dermacell, Awm, Porous Sq Cm

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$242 National median
$111 – $2,569 IQR (p25 – p75)
1,297 hospitals filing
49 states
View hospital-by-hospital → Raw rate rows →
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for Q4122 (HCPCS), with interquartile range
StateMedianp25p75
WA$7,676$1,565$17,525
KY$5,617$179$11,902
NE$5,123$188$11,871
GA$5,100$1,189$12,290
NV$4,474$2,041$7,058
CA$3,085$145$10,652
MS$2,752$1,259$5,359
MD$1,858$200$3,387
AK$848$747$948
TN$768$128$3,607
NY$600$156$1,474
UT$483$305$483
VA$456$129$3,303
NJ$393$58$3,660
ID$297$297$365
IA$297$132$384
OH$278$185$352
NC$265$181$542
CO$250$92$386
KS$248$120$4,652
DC$232$218$239
ME$227$121$321
WY$212$199$219
FL$202$122$1,017
IL$200$82$901
WV$200$154$200
AZ$189$133$215
MA$187$93$10,689
IN$178$98$408
CT$171$114$212
NH$171$136$227
MI$155$112$257
OR$149$112$227
RI$149$140$173
WI$136$60$273
MO$130$60$4,720
SC$124$118$146
TX$122$76$287
MN$120$98$912
OK$120$116$200
AL$118$103$223
LA$114$109$10,000
MT$113$113$113
PA$113$95$1,029
AR$110$49$188
SD$88$65$121
HI$78$44$2,904
NM$68$46$76
ND$51$44$65
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State Median p25 p75 Min Max Hospitals Payers Rates
         
WA $7,676 $1,565 $17,525 $98 $45,010 33 39 1,855
KY $5,617 $179 $11,902 $33 $40,396 31 76 1,559
NE $5,123 $188 $11,871 $75 $12,246 6 14 68
GA $5,100 $1,189 $12,290 $15 $41,641 57 89 8,179
NV $4,474 $2,041 $7,058 $90 $19,056 14 96 1,057
CA $3,085 $145 $10,652 <$1 $105,091 101 256 3,559
MS $2,752 $1,259 $5,359 $38 $34,237 5 17 419
MD $1,858 $200 $3,387 $36 $5,931 12 2 18
AK $848 $747 $948 $647 $1,049 1 ⚠ thin data 1 2
TN $768 $128 $3,607 $55 $36,070 35 65 1,751
NY $600 $156 $1,474 $25 $22,486 62 179 4,517
UT $483 $305 $483 $126 $483 3 1 3
VA $456 $129 $3,303 $48 $20,924 23 53 1,054
NJ $393 $58 $3,660 <$1 $12,542 35 129 8,292
ID $297 $297 $365 $116 $463 4 121 157
IA $297 $132 $384 $42 $21,174 29 78 727
OH $278 $185 $352 $64 $22,451 48 127 687
NC $265 $181 $542 $35 $70,452 52 101 5,973
CO $250 $92 $386 $15 $37,486 32 83 727
KS $248 $120 $4,652 $17 $26,532 17 124 813
DC $232 $218 $239 $218 $290 1 ⚠ thin data 5 7
ME $227 $121 $321 $59 $1,392 9 15 108
WY $212 $199 $219 $109 $224 2 ⚠ thin data 16 16
FL $202 $122 $1,017 $7 $48,991 109 169 8,908
IL $200 $82 $901 <$1 $27,254 42 85 829
WV $200 $154 $200 $47 $224 7 31 232
AZ $189 $133 $215 $38 $3,485 18 46 281
MA $187 $93 $10,689 $3 $47,527 22 282 1,483
IN $178 $98 $408 $48 $54,079 21 85 583
CT $171 $114 $212 $33 $483 7 7 81
NH $171 $136 $227 $103 $760 5 7 29
MI $155 $112 $257 $25 $446 42 289 923
OR $149 $112 $227 $10 $756 13 28 338
RI $149 $140 $173 $103 $786 6 12 40
WI $136 $60 $273 $16 $524 33 50 649
MO $130 $60 $4,720 $16 $14,750 16 47 294
SC $124 $118 $146 $22 $422 21 93 1,397
TX $122 $76 $287 $3 $116,321 162 540 17,462
MN $120 $98 $912 $1 $8,088 20 34 1,447
OK $120 $116 $200 $107 $7,721 22 57 272
AL $118 $103 $223 $4 $20,150 19 36 343
LA $114 $109 $10,000 $32 $10,134 23 103 1,413
MT $113 $113 $113 $113 $127 2 ⚠ thin data 14 17
PA $113 $95 $1,029 $30 $7,198 41 38 1,562
AR $110 $49 $188 $49 $356 4 41 96
SD $88 $65 $121 $24 $1,725 3 36 185
HI $78 $44 $2,904 $16 $8,190 5 28 185
NM $68 $46 $76 $32 $547 15 86 536
ND $51 $44 $65 $1 $7,993 6 34 132