Allograft graftjacket 2x12cm-q4107-cost per sq cm cost in Nebraska
ALLOGRAFT GRAFTJACKET 2X12CM-Q4107-COST PER SQ CM · HCPCS Q4107
$4,673.09
lowest in Nebraska
$5,118.15
state median
$9,457.44
highest in Nebraska
$4,677.40
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $4,673.09 | $33.78 – $168.90 | 13 |
| Lasting Hope Recovery Center | Omaha | $4,673.09 | $33.78 – $168.90 | 12 |
| CHI Health Immanuel | Omaha | $4,673.09 | $27.82 – $168.90 | 13 |
| CHI Health Lakeside | Omaha | $4,673.09 | $31.80 – $168.90 | 13 |
| CHI Health Midlands | Papillion | $4,673.09 | $35.77 – $168.90 | 13 |
| CHI Health Nebraska Heart | Lincoln | $5,118.15 | $94.34 – $820.00 | 11 |
| CHI Health St. Elizabeth | Lincoln | $5,563.20 | $51.47 – $179.00 | 11 |
| CHI Health St. Francis | Grand Island | $6,564.58 | $94.34 – $940.00 | 12 |
| CHI Health Good Samaritan | Kearney | $6,787.11 | $78.61 – $930.00 | 12 |
| CHI Health St. Mary's | Nebraska City | $9,234.92 | $214.20 – $960.00 | 16 |
| CHI Health Plainview | Plainview | $9,346.18 | $610.00 – $1,354.20 | 19 |
| CHI Health Schuyler | Schuyler | $9,457.44 | $214.20 – $1,132.20 | 18 |