Price Checker / CPT Q4142

CPT Q4142Xcm biologic tiss matrix 1cm

2026 Medicare Physician Fee Schedule rates and hospital pricing data

Medicare Rate (Facility)

$127

What Medicare pays in a hospital/ASC setting

Medicare Rate (Office)

$127

What Medicare pays in a physician's office

Avg Hospital Charge

$11,010

Based on 6 hospital(s) in our database

What do these numbers mean?

The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.

Hospital Charges for CPT Q4142

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Eskenazi Health

, IN

$47,696$47,69637379%
Mobile Infirmary Medical Center

, AL

$6,825$6,8255263%
Health Alliance Mary Avenue Hospital

, NY

$5,400$2,1314143%
Margaretville Hospital

, NY

$5,400$3,9964143%
Valley Health System

, NJ

$600$360371%
University of Arkansas for Medical Sciences

, AR

$137$828%

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About CPT Q4142

CPT code Q4142 refers to “Xcm biologic tiss matrix 1cm”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $127 in a facility (hospital or ambulatory surgery center) and $127in a non-facility (physician's office) setting.

These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.

What to do if you were overcharged

  1. Upload your bill— we'll identify this code and compare it against the rates shown above.
  2. Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
  3. Negotiate or let us handle it — 25% of savings, no savings = no fee.

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