Q4172 (HCPCS) by state — Price Transparency

HCPCS · across United States

Q4172 — Wound, Matrix, Puraplyam, 2 X 4, 8 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).

$357 National median

$116 – $1,575 IQR (p25 – p75)

258 hospitals filing

38 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $945.

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for Q4172 (HCPCS), with interquartile range
State	Median	p25	p75
WV	$3,935	$1,638	$59,517
MO	$3,750	$3,750	$3,750
SD	$1,725	$1,725	$1,725
OH	$1,658	$1,275	$2,112
ME	$1,289	$1,289	$1,289
NY	$1,228	$985	$2,361
GA	$649	$570	$664
WA	$609	$609	$609
TX	$498	$264	$548
KY	$360	$348	$3,968
IN	$356	$200	$419
UT	$255	$237	$283
AR	$234	$187	$312
CT	$230	$152	$501
IL	$219	$219	$272
CA	$195	$99	$439
IA	$191	$92	$278
KS	$189	$178	$189
MD	$189	$189	$189
PA	$187	$89	$237
LA	$171	$100	$5,104
NJ	$166	$158	$195
MN	$149	$72	$224
TN	$128	$123	$153
FL	$126	$34	$670
NE	$122	$85	$210
VA	$119	$95	$138
NH	$109	$105	$110
NC	$108	$108	$108
AL	$101	$100	$422
MS	$100	$100	$157
ID	$97	$93	$187
HI	$89	$89	$89
MI	$88	$80	$90
MA	$78	$78	$78
ND	$78	$78	$78
WI	$67	$67	$67
SC	$34	$33	$35

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

WV	$3,935	$1,638	$59,517	$89	$75,907	3	4	11
MO	$3,750	$3,750	$3,750	$756	$3,750	1 ⚠ thin data	54	69
SD	$1,725	$1,725	$1,725	$1,725	$1,725	1 ⚠ thin data	1	1
OH	$1,658	$1,275	$2,112	$222	$3,150	18	43	1,599
ME	$1,289	$1,289	$1,289	$1,289	$1,289	2 ⚠ thin data	1	4
NY	$1,228	$985	$2,361	$10	$6,400	30	37	261
GA	$649	$570	$664	$209	$746	1 ⚠ thin data	9	11
WA	$609	$609	$609	$368	$1,105	10	2	10
TX	$498	$264	$548	$67	$1,047	36	35	124
KY	$360	$348	$3,968	$274	$84,069	6	12	152
IN	$356	$200	$419	$38	$482	3	24	99
UT	$255	$237	$283	$111	$297	6	18	171
AR	$234	$187	$312	$102	$446	1 ⚠ thin data	13	60
CT	$230	$152	$501	$152	$501	2 ⚠ thin data	2	5
IL	$219	$219	$272	$46	$393	1 ⚠ thin data	13	33
CA	$195	$99	$439	$71	$957	52	78	411
IA	$191	$92	$278	$39	$1,517	4	22	195
KS	$189	$178	$189	$158	$210	1 ⚠ thin data	4	5
MD	$189	$189	$189	$189	$189	1 ⚠ thin data	1	3
PA	$187	$89	$237	$40	$21,999	13	53	418
LA	$171	$100	$5,104	$30	$40,991	4	29	68
NJ	$166	$158	$195	$16	$326	3	8	33
MN	$149	$72	$224	$65	$994	4	3	11
TN	$128	$123	$153	$81	$208	3	4	35
FL	$126	$34	$670	<$1	$18,142	15	36	329
NE	$122	$85	$210	$36	$1,059	6	15	481
VA	$119	$95	$138	$65	$153	4	20	131
NH	$109	$105	$110	$86	$114	2 ⚠ thin data	7	14
NC	$108	$108	$108	$108	$108	1 ⚠ thin data	1	1
AL	$101	$100	$422	$95	$422	1 ⚠ thin data	8	16
MS	$100	$100	$157	$30	$201	1 ⚠ thin data	26	38
ID	$97	$93	$187	$90	$278	1 ⚠ thin data	3	3
HI	$89	$89	$89	$85	$89	4	1	5
MI	$88	$80	$90	$67	$156	8	28	113
MA	$78	$78	$78	$78	$78	1 ⚠ thin data	1	2
ND	$78	$78	$78	$78	$78	3	1	9
WI	$67	$67	$67	$67	$67	1 ⚠ thin data	1	1
SC	$34	$33	$35	$29	$94	4	40	152