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).

$283 National median
$124 – $3,244 IQR (p25 – p75)
1,599 hospitals filing
50 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
ND$51$47$113
NM$68$46$135
SD$88$86$100
LA$114$109$10,000
AR$117$97$137
PA$121$98$791
OK$122$116$200
SC$125$119$154
VT$126$126$144
AL$128$115$330
MN$135$100$289
MO$135$125$512
RI$143$140$155
CT$152$116$207
WI$154$112$330
MI$155$112$280
UT$155$127$245
ME$167$125$305
WV$170$133$224
TX$171$91$299
NH$176$103$572
IN$178$86$472
AZ$188$133$282
WY$208$149$218
IA$209$82$373
MA$223$115$12,311
CO$225$97$441
OH$253$130$446
OR$257$234$5,362
NC$261$174$626
KS$261$124$4,409
ID$297$179$355
TN$337$128$2,825
KY$431$147$8,280
FL$447$154$3,720
NE$481$133$903
NY$600$155$1,577
VA$741$179$5,056
HI$844$54$3,136
AK$848$747$948
CA$1,419$128$6,813
MD$1,825$198$3,351
NJ$2,122$129$4,340
MS$2,263$1,120$4,954
IL$2,668$475$9,521
DC$2,741$174$6,743
NV$3,509$1,427$6,620
MT$3,547$3,547$8,639
GA$4,900$860$11,901
WA$7,229$1,938$16,009
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
         
ND $51 $47 $113 $32 $7,993 6 30 113
NM $68 $46 $135 $32 $2,165 15 82 516
SD $88 $86 $100 $34 $1,725 8 43 311
LA $114 $109 $10,000 $32 $10,134 27 110 1,434
AR $117 $97 $137 $36 $356 8 84 199
PA $121 $98 $791 $32 $12,057 48 57 1,950
OK $122 $116 $200 $107 $13,277 25 62 296
SC $125 $119 $154 $33 $27,801 40 99 1,603
VT $126 $126 $144 $110 $174 1 ⚠ thin data 9 21
AL $128 $115 $330 $11 $20,150 23 81 392
MN $135 $100 $289 $32 $8,088 27 42 2,430
MO $135 $125 $512 $32 $14,750 20 109 488
RI $143 $140 $155 $56 $786 7 13 37
CT $152 $116 $207 $33 $483 9 9 96
WI $154 $112 $330 $32 $12,213 40 98 993
MI $155 $112 $280 $35 $446 47 298 950
UT $155 $127 $245 $82 $742 13 25 358
ME $167 $125 $305 $59 $1,392 13 14 142
WV $170 $133 $224 $47 $22,219 21 61 789
TX $171 $91 $299 $32 $57,381 177 569 23,103
NH $176 $103 $572 $44 $1,086 10 27 250
IN $178 $86 $472 $36 $108,466 26 106 690
AZ $188 $133 $282 $38 $3,485 20 74 392
WY $208 $149 $218 $98 $236 3 22 24
IA $209 $82 $373 $34 $21,174 32 86 959
MA $223 $115 $12,311 $32 $47,527 24 247 1,541
CO $225 $97 $441 $35 $52,803 42 84 944
OH $253 $130 $446 $47 $22,451 52 172 1,057
OR $257 $234 $5,362 $32 $8,150 16 212 1,196
NC $261 $174 $626 $35 $70,452 61 123 7,714
KS $261 $124 $4,409 $32 $26,532 18 122 773
ID $297 $179 $355 $47 $488 5 121 181
TN $337 $128 $2,825 $38 $36,070 42 77 2,128
KY $431 $147 $8,280 $33 $40,396 42 67 2,551
FL $447 $154 $3,720 $32 $82,646 122 199 13,017
NE $481 $133 $903 $75 $12,246 11 32 163
NY $600 $155 $1,577 $34 $25,409 79 244 6,290
VA $741 $179 $5,056 $34 $37,578 28 67 1,574
HI $844 $54 $3,136 $34 $13,728 9 30 207
AK $848 $747 $948 $647 $1,049 1 ⚠ thin data 1 2
CA $1,419 $128 $6,813 $1 $105,091 147 427 8,998
MD $1,825 $198 $3,351 $36 $5,931 12 2 19
NJ $2,122 $129 $4,340 $32 $12,542 36 117 10,245
MS $2,263 $1,120 $4,954 $34 $34,237 9 40 463
IL $2,668 $475 $9,521 <$1 $28,500 52 127 2,074
DC $2,741 $174 $6,743 $32 $55,339 4 25 306
NV $3,509 $1,427 $6,620 $90 $19,056 17 88 705
MT $3,547 $3,547 $8,639 $113 $8,821 6 155 372
GA $4,900 $860 $11,901 $32 $41,641 60 89 7,539
WA $7,229 $1,938 $16,009 $98 $45,010 35 41 2,930