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).

$281 National median
$124 – $3,251 IQR (p25 – p75)
1,609 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
WA$7,229$1,938$16,009
GA$4,900$860$11,901
MT$3,547$3,547$8,639
IL$2,940$542$9,569
DC$2,741$174$6,743
MS$2,263$1,120$4,954
NJ$2,122$129$4,340
NV$2,034$273$5,835
MD$1,830$199$3,300
CA$1,419$128$6,813
AK$848$747$948
HI$844$54$3,136
VA$741$179$5,056
NY$600$155$1,577
NE$481$133$903
FL$447$154$3,716
KY$431$148$8,249
TN$337$128$2,825
ID$297$179$355
KS$261$124$4,409
NC$258$173$625
OR$257$234$5,362
OH$253$130$446
CO$225$97$441
MA$223$115$12,311
IA$209$82$373
WY$190$127$214
AZ$188$133$282
WV$179$133$212
IN$177$85$506
NH$176$103$572
TX$172$91$304
ME$167$125$305
UT$155$127$245
MI$155$112$280
WI$152$110$299
CT$152$116$207
RI$143$140$155
MO$135$125$512
MN$135$100$289
AL$128$115$330
VT$126$126$144
SC$125$119$154
OK$122$116$200
PA$121$98$791
AR$117$96$137
LA$113$109$10,000
SD$89$86$102
NM$68$46$135
ND$51$47$113
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 $7,229 $1,938 $16,009 $98 $45,010 35 41 2,930
GA $4,900 $860 $11,901 $32 $41,641 60 89 7,539
MT $3,547 $3,547 $8,639 $113 $8,821 6 155 372
IL $2,940 $542 $9,569 <$1 $28,500 52 127 2,150
DC $2,741 $174 $6,743 $32 $55,339 4 25 306
MS $2,263 $1,120 $4,954 $34 $34,237 9 40 463
NJ $2,122 $129 $4,340 $32 $12,542 36 117 10,245
NV $2,034 $273 $5,835 $46 $19,056 17 91 719
MD $1,830 $199 $3,300 $36 $5,931 13 2 20
CA $1,419 $128 $6,813 $1 $105,091 147 427 8,998
AK $848 $747 $948 $647 $1,049 1 ⚠ thin data 1 2
HI $844 $54 $3,136 $34 $13,728 9 30 207
VA $741 $179 $5,056 $34 $37,578 28 67 1,574
NY $600 $155 $1,577 $34 $25,409 80 244 6,294
NE $481 $133 $903 $75 $12,246 11 32 163
FL $447 $154 $3,716 $32 $82,646 122 200 13,021
KY $431 $148 $8,249 $33 $40,396 43 67 2,558
TN $337 $128 $2,825 $38 $36,070 42 77 2,128
ID $297 $179 $355 $47 $488 5 121 181
KS $261 $124 $4,409 $32 $26,532 18 122 773
NC $258 $173 $625 $35 $70,452 62 124 7,726
OR $257 $234 $5,362 $32 $8,150 16 212 1,196
OH $253 $130 $446 $47 $22,451 52 172 1,057
CO $225 $97 $441 $35 $52,803 42 84 944
MA $223 $115 $12,311 $32 $47,527 24 247 1,541
IA $209 $82 $373 $34 $21,174 32 86 959
WY $190 $127 $214 $98 $236 3 22 32
AZ $188 $133 $282 $38 $3,485 20 74 392
WV $179 $133 $212 $47 $22,219 22 72 829
IN $177 $85 $506 $36 $108,466 27 111 717
NH $176 $103 $572 $44 $1,086 10 27 250
TX $172 $91 $304 $32 $57,381 178 574 23,212
ME $167 $125 $305 $59 $1,392 13 14 142
UT $155 $127 $245 $82 $742 13 25 358
MI $155 $112 $280 $35 $446 47 298 950
WI $152 $110 $299 $32 $12,213 40 100 1,055
CT $152 $116 $207 $33 $483 9 9 96
RI $143 $140 $155 $56 $786 7 13 37
MO $135 $125 $512 $32 $14,750 20 109 488
MN $135 $100 $289 $32 $8,088 27 42 2,430
AL $128 $115 $330 $11 $20,150 23 81 392
VT $126 $126 $144 $110 $174 1 ⚠ thin data 9 21
SC $125 $119 $154 $33 $27,801 40 99 1,603
OK $122 $116 $200 $107 $13,277 26 62 300
PA $121 $98 $791 $32 $12,057 48 57 1,950
AR $117 $96 $137 $36 $887 8 87 197
LA $113 $109 $10,000 $32 $10,134 28 118 1,462
SD $89 $86 $102 $34 $14,119 9 48 325
NM $68 $46 $135 $32 $2,165 15 82 516
ND $51 $47 $113 $32 $7,993 6 30 113