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HANK Price Transparency. (n.d.).
XCM BIOLOGIC TISS MATRIX 1CM (HCPCS Q4142) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 30, 2026 , from http://ppman.hank.ai/transparency/procedure/Q4142/by-state?code_type=HCPCS
“XCM BIOLOGIC TISS MATRIX 1CM (HCPCS Q4142) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/Q4142/by-state?code_type=HCPCS. Accessed
June 30, 2026 .
“XCM BIOLOGIC TISS MATRIX 1CM (HCPCS Q4142) by State,” HANK Price Transparency ,
accessed June 30, 2026 ,
http://ppman.hank.ai/transparency/procedure/Q4142/by-state?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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HCPCS · across United States
Q4142 — Xcm Biologic Tiss Matrix 1cm
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$300
National median
$114 – $5,177
IQR (p25 – p75)
492
hospitals filing
42
states
Walking in without insurance?
Cash / self-pay price
Cash median
$589
vs. negotiated
+96.2%
Hospitals reporting
213
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for Q4142 (HCPCS), with interquartile range
State Median p25 p75
PA $16,238 $9,773 $30,275
NJ $14,532 $5,309 $72,962
LA $12,828 $11,711 $17,146
NV $10,911 $491 $25,789
AL $6,825 $128 $6,825
FL $6,386 $275 $18,896
WY $4,724 $4,262 $4,773
CA $3,040 $179 $9,626
NY $1,443 $292 $1,474
OH $1,325 $946 $1,537
MD $733 $733 $733
UT $483 $305 $483
WI $475 $273 $571
TN $337 $113 $337
VA $337 $239 $566
WV $245 $126 $522
MO $210 $210 $210
CO $210 $131 $381
CT $206 $127 $483
KS $198 $18 $371
WA $193 $151 $231
AZ $189 $134 $364
KY $183 $88 $378
NC $181 $181 $181
NE $165 $131 $239
HI $147 $147 $147
TX $136 $92 $7,367
IL $135 $133 $1,050
AR $130 $129 $133
MT $127 $127 $127
SC $122 $116 $168
OK $120 $51 $122
IA $60 $38 $71
GA $58 $40 $78
SD $56 $37 $64
ID $54 $54 $68
MN $49 $40 $4,906
MI $49 $43 $68
IN $49 $48 $49
MA $42 $34 $42
ND $40 $31 $47
NM $31 $31 $31