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

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).

$207 National median
$127 – $1,437 IQR (p25 – p75)
1,455 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
DC$4,588$2,745$6,717
ID$4,246$488$4,936
MS$3,520$1,374$4,470
WV$2,470$119$3,294
NJ$2,099$124$4,144
FL$1,859$210$7,770
SD$1,725$91$4,702
KS$1,638$191$3,965
NV$1,582$273$3,330
MI$1,550$124$3,700
VA$1,000$173$1,867
MO$781$142$3,687
NE$700$98$15,384
AK$575$507$643
KY$402$114$703
ME$297$127$2,223
GA$284$164$5,464
IL$274$134$7,420
MN$246$135$1,640
ND$241$132$2,249
LA$226$96$2,601
CA$218$146$4,071
NY$217$81$1,474
WA$200$144$464
OH$183$134$276
TX$183$128$257
VT$159$126$5,688
CO$158$75$446
NC$157$157$187
TN$156$100$498
MD$152$104$168
AR$151$94$251
CT$149$113$163
OR$147$117$155
AZ$141$116$331
WY$134$119$154
RI$133$125$143
IN$132$56$433
IA$129$66$2,640
PA$124$78$192
AL$123$107$251
WI$123$80$326
SC$123$105$168
NM$122$82$229
OK$110$92$135
HI$99$69$211
NH$96$63$157
MA$93$88$136
UT$88$88$108
MT$84$74$95
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
         
DC $4,588 $2,745 $6,717 $56 $65,477 2 ⚠ thin data 11 65
ID $4,246 $488 $4,936 $67 $5,307 7 26 187
MS $3,520 $1,374 $4,470 $54 $9,672 11 62 270
WV $2,470 $119 $3,294 $62 $8,203 5 20 131
NJ $2,099 $124 $4,144 $32 $50,925 36 146 3,801
FL $1,859 $210 $7,770 $32 $64,735 116 142 10,734
SD $1,725 $91 $4,702 $89 $8,726 2 ⚠ thin data 11 13
KS $1,638 $191 $3,965 $34 $44,595 15 91 964
NV $1,582 $273 $3,330 $60 $14,422 17 99 830
MI $1,550 $124 $3,700 $36 $6,878 33 100 1,041
VA $1,000 $173 $1,867 $47 $8,361 23 48 535
MO $781 $142 $3,687 $40 $13,101 26 64 1,852
NE $700 $98 $15,384 $60 $25,599 10 34 123
AK $575 $507 $643 $439 $711 1 ⚠ thin data 1 2
KY $402 $114 $703 $34 $12,822 24 77 590
ME $297 $127 $2,223 $58 $3,252 11 16 150
GA $284 $164 $5,464 $33 $26,226 33 66 1,398
IL $274 $134 $7,420 $37 $22,080 52 96 827
MN $246 $135 $1,640 $45 $8,088 25 24 190
ND $241 $132 $2,249 $37 $3,265 5 14 40
LA $226 $96 $2,601 $61 $9,241 28 68 567
CA $218 $146 $4,071 $33 $147,575 157 360 7,189
NY $217 $81 $1,474 $44 $3,362 72 160 2,451
WA $200 $144 $464 $63 $5,547 32 37 474
OH $183 $134 $276 $56 $13,370 61 117 1,821
TX $183 $128 $257 $32 $168,000 163 355 25,652
VT $159 $126 $5,688 $45 $7,855 2 ⚠ thin data 19 46
CO $158 $75 $446 $33 $4,794 47 51 587
NC $157 $157 $187 $34 $43,988 22 62 923
TN $156 $100 $498 $36 $7,354 35 61 1,245
MD $152 $104 $168 $102 $182 2 ⚠ thin data 4 10
AR $151 $94 $251 $34 $15,247 8 72 212
CT $149 $113 $163 $66 $5,954 9 8 43
OR $147 $117 $155 $66 $756 16 14 235
AZ $141 $116 $331 $33 $15,287 22 89 543
WY $134 $119 $154 $67 $236 2 ⚠ thin data 9 9
RI $133 $125 $143 $62 $786 7 13 36
IN $132 $56 $433 $33 $40,395 31 154 1,227
IA $129 $66 $2,640 $39 $11,553 23 53 253
PA $124 $78 $192 $37 $10,671 49 53 1,074
AL $123 $107 $251 $40 $9,709 24 57 415
WI $123 $80 $326 $51 $5,850 49 54 676
SC $123 $105 $168 $33 $5,534 21 26 276
NM $122 $82 $229 $58 $33,676 17 104 532
OK $110 $92 $135 $68 $10,193 24 62 261
HI $99 $69 $211 $47 $26,754 8 20 100
NH $96 $63 $157 $60 $5,890 12 24 245
MA $93 $88 $136 $60 $438 15 11 115
UT $88 $88 $108 $63 $824 32 34 631
MT $84 $74 $95 $62 $271 10 30 80