Allograft graftjacket 2x12cm-q4107-cost per sq cm cost in California
ALLOGRAFT GRAFTJACKET 2X12CM-Q4107-COST PER SQ CM · HCPCS Q4107
$2,983.52
lowest in California
$6,606.72
state median
$11,125.90
highest in California
$4,898.43
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St. Joseph's Medical Center Stockton | Stockton | $2,983.52 | $95.72 – $2,730.00 | 13 |
| Mercy Medical Center Merced | Merced | $4,180.77 | $95.72 – $2,096.64 | 18 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $4,232.06 | $160.06 – $296.10 | 8 |
| Providence Holy Cross Medical Center | Mission Hills | $4,232.06 | $160.06 – $296.10 | 8 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | $4,232.06 | $160.06 – $296.10 | 8 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $4,232.06 | $160.06 – $296.10 | 8 |
| Providence Saint John's Health Center | Santa Monica | $4,232.06 | $160.06 – $296.10 | 9 |
| Providence Saint Joseph Medical Center | Burbank | $4,232.06 | $160.06 – $296.10 | 8 |
| Mercy Medical Center Redding | Redding | $4,259.82 | $95.72 – $8,402.00 | 10 |
| Redwood Memorial Hospital | Fortuna | $4,374.07 | $145.25 – $145.25 | 1 |
| Providence St Joseph Hospital Eureka | Eureka | $4,374.07 | $144.89 – $293.41 | 3 |
| Healdsburg Hospital | Healdsburg | $4,732.60 | $167.67 – $286.12 | 2 |
| St. Elizabeth Community Hospital | Red Bluff | $4,906.77 | $95.72 – $8,233.96 | 10 |
| Mercy General Hospital | Sacramento | $5,000.92 | $95.72 – $5,491.30 | 16 |
| Dominican Hospital | Santa Cruz | $5,380.65 | $87.49 – $11,957.00 | 13 |
| Northridge Hospital Medical Center | Northridge | $5,513.88 | $95.72 – $8,988.00 | 16 |
| Sequoia Hospital | Redwood City | $6,022.02 | $27.50 – $5,264.35 | 14 |
| Mercy San Juan Medical Center | Carmichael | $6,285.56 | $95.72 – $5,244.50 | 17 |
| Woodland Memorial Hospital | Woodland | $6,285.56 | $95.72 – $6,170.00 | 18 |
| Methodist Hospital of Sacramento | Sacramento | $6,606.72 | $95.72 – $5,553.00 | 16 |
| Providence St Joseph Hospital Orange | Orange | $6,613.82 | $136.05 – $296.10 | 5 |
| Sierra Nevada Memorial Hospital | Grass Valley | $6,935.67 | $95.72 – $12,471.48 | 12 |
| French Hospital | San Luis Obispo | $7,160.28 | $95.72 – $4,815.72 | 15 |
| Bakersfield Memorial Hospital | Bakersfield | $7,448.27 | $95.72 – $5,296.20 | 18 |
| Queen of The Valley Medical Center | Napa | $7,457.42 | $121.47 – $293.41 | 3 |
| Glendale Memorial Hospital Health Center | Glendale | $7,478.44 | $40.00 – $6,108.30 | 17 |
| Mercy Hospitals – Bakersfield | Bakersfield | $7,529.45 | $95.72 – $4,914.00 | 18 |
| St. Bernardine Medical Center | San Bernardino | $7,639.02 | $95.72 – $5,059.40 | 18 |
| St Jude Medical Center | Fullerton | $7,680.13 | $136.05 – $296.10 | 5 |
| Arroyo Grande Hospital | Santa Maria | $7,817.85 | $95.72 – $4,815.72 | 13 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $7,955.83 | $95.72 – $10,021.48 | 12 |
| St. John's Camarillo Hospital | Camarillo | $7,999.20 | $119.88 – $4,982.64 | 15 |
| Petaluma Valley Hospital | Petaluma | $8,834.18 | $112.22 – $293.41 | 4 |
| Santa Rosa Memorial Hospital | Santa Rosa | $8,834.18 | $120.65 – $293.41 | 4 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $8,908.20 | $136.05 – $296.10 | 5 |
| Mercy Hospital of Folsom | Folsom | $8,923.66 | $91.80 – $5,923.20 | 17 |
| Community Hospital San Bernardino | San Bernardino | $8,969.54 | $95.72 – $6,170.00 | 19 |
| St. Mary Medical Center | Long Beach | $9,864.20 | $86.15 – $6,170.00 | 20 |
| California Hospital Medical Center | Los Angeles | $11,125.90 | $86.15 – $6,339.75 | 21 |