Price Checker / CPT 55874
How much does Tprnl Placement Biodegrdabl Matrl cost?
CPT 55874 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 2.4x the fair price. You have grounds to ask for a reduction.
Fair price
$6,200–$7,250
What this should cost
With insurance
~$4,000
Typical out-of-pocket
Overcharged if over
$9,050
Push back above this
The average hospital charge of $16,169 is $9,419 over the fair price (about 2.4x the fair rate).
What hospitals charge for Tprnl Placement Biodegrdabl Matrl
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Guthrie Lourdes Hospital Binghamton, NY | $32,188 | — | 769% |
| Novant Health Presbyterian Medical Center CHARLOTTE, NC | $25,407 | — | 565% |
| Warren General Hospital WARREN, PA | $10,933 | — | 298% |
| Los Alamos Medical Center LOS ALAMOS, NY | $13,585 | — | 267% |
| Margaret Mary Health , OH | $8,530 | — | 130% |
| Frederick Health Hospital FREDERICK, MD | $6,374 | — | 72% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Tprnl Placement Biodegrdabl Matrl
CPT code 55874 refers to tprnl placement biodegrdabl matrl (billing description: "Tprnl plmt biodegrdabl matrl"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $143 in a facility (hospital or surgery center) and $3,704 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.