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 →

Export CSV
HCPCS · across United States

Q4126 — Hc Shell Q4126, Memoderm, Dermaspan, Tranzgraft Or Integuply, Per 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).

$209 National median
$127 – $1,474 IQR (p25 – p75)
1,439 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 Q4126 (HCPCS), with interquartile range
StateMedianp25p75
MT$84$74$95
UT$88$88$102
MA$93$88$136
NH$95$63$150
HI$99$69$211
OK$110$92$135
NM$122$82$204
AL$123$107$251
WI$124$80$329
PA$124$78$192
SC$124$116$168
WY$126$119$154
IA$129$66$2,640
IN$132$56$433
RI$133$125$143
AZ$141$116$331
OR$147$120$155
CT$149$113$163
AR$151$94$251
MD$152$104$168
NC$157$157$187
CO$158$75$449
VT$159$126$5,688
TX$183$128$259
TN$183$99$541
OH$183$134$276
WA$193$144$465
NY$212$81$1,474
CA$215$146$4,059
LA$226$96$2,601
MN$252$150$1,652
IL$274$134$7,420
GA$284$164$5,464
ME$297$127$2,223
KY$402$113$703
AK$575$507$643
NE$700$98$15,384
MO$781$142$3,687
ND$891$132$2,535
VA$1,000$173$1,867
MI$1,550$124$3,700
NV$1,594$380$3,295
KS$1,638$191$3,965
SD$1,725$91$4,702
FL$1,859$210$7,770
NJ$2,099$124$4,144
WV$2,495$118$3,334
MS$3,520$1,374$4,470
ID$4,246$1,095$4,936
DC$4,588$2,745$6,717
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
         
MT $84 $74 $95 $62 $271 10 30 80
UT $88 $88 $102 $63 $824 32 33 584
MA $93 $88 $136 $60 $438 15 11 115
NH $95 $63 $150 $60 $5,890 11 24 244
HI $99 $69 $211 $47 $26,754 8 20 100
OK $110 $92 $135 $68 $10,193 23 62 253
NM $122 $82 $204 $58 $33,676 17 109 551
AL $123 $107 $251 $40 $9,709 24 57 415
WI $124 $80 $329 $51 $5,850 48 53 666
PA $124 $78 $192 $37 $10,671 49 53 1,073
SC $124 $116 $168 $33 $5,534 20 18 252
WY $126 $119 $154 $67 $236 2 ⚠ thin data 10 10
IA $129 $66 $2,640 $39 $11,553 23 53 253
IN $132 $56 $433 $33 $40,395 31 154 1,227
RI $133 $125 $143 $62 $786 7 13 36
AZ $141 $116 $331 $33 $15,287 22 89 543
OR $147 $120 $155 $66 $756 16 14 247
CT $149 $113 $163 $66 $5,954 9 8 43
AR $151 $94 $251 $34 $15,247 8 72 212
MD $152 $104 $168 $102 $182 2 ⚠ thin data 4 10
NC $157 $157 $187 $34 $43,988 22 62 923
CO $158 $75 $449 $33 $4,794 46 50 584
VT $159 $126 $5,688 $45 $7,855 2 ⚠ thin data 19 46
TX $183 $128 $259 $32 $168,000 162 349 24,533
TN $183 $99 $541 $36 $7,354 34 59 1,206
OH $183 $134 $276 $56 $13,370 61 117 1,821
WA $193 $144 $465 $63 $5,547 31 37 473
NY $212 $81 $1,474 $44 $3,317 70 159 2,430
CA $215 $146 $4,059 $33 $147,575 156 358 7,206
LA $226 $96 $2,601 $61 $9,241 28 68 567
MN $252 $150 $1,652 $45 $8,088 24 23 186
IL $274 $134 $7,420 $37 $22,080 52 94 821
GA $284 $164 $5,464 $33 $26,226 33 66 1,398
ME $297 $127 $2,223 $58 $3,252 11 16 149
KY $402 $113 $703 $34 $12,822 24 77 598
AK $575 $507 $643 $439 $711 1 ⚠ thin data 1 2
NE $700 $98 $15,384 $60 $25,599 10 34 123
MO $781 $142 $3,687 $40 $13,101 25 64 1,838
ND $891 $132 $2,535 $37 $3,265 4 11 36
VA $1,000 $173 $1,867 $47 $8,361 23 48 535
MI $1,550 $124 $3,700 $36 $6,878 33 100 1,041
NV $1,594 $380 $3,295 $60 $14,422 17 99 897
KS $1,638 $191 $3,965 $34 $44,595 15 91 964
SD $1,725 $91 $4,702 $89 $8,726 2 ⚠ thin data 11 13
FL $1,859 $210 $7,770 $32 $64,735 116 142 10,734
NJ $2,099 $124 $4,144 $32 $50,925 36 146 3,801
WV $2,495 $118 $3,334 $62 $8,203 4 19 125
MS $3,520 $1,374 $4,470 $54 $9,672 11 62 270
ID $4,246 $1,095 $4,936 $67 $5,307 6 21 174
DC $4,588 $2,745 $6,717 $56 $65,477 2 ⚠ thin data 11 65