Allograft graftjacket 2x12cm-q4107-cost per sq cm cost in Pennsylvania
ALLOGRAFT GRAFTJACKET 2X12CM-Q4107-COST PER SQ CM · HCPCS Q4107
$2,400.60
lowest in Pennsylvania
$4,781.60
state median
$5,527.20
highest in Pennsylvania
$4,677.40
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Cole | Coudersport | $2,400.60 | $101.87 – $3,200.80 | 14 |
| UPMC Williamsport | Williamsport | $3,954.00 | $121.29 – $121.29 | 1 |
| UPMC Wellsboro | Wellsboro | $4,781.60 | $121.29 – $121.29 | 1 |
| UPMC Muncy | Muncy | $4,885.20 | $121.29 – $121.29 | 1 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $5,063.89 | $300.86 – $436.70 | 3 |
| UPMC Presbyterian | Pittsburgh | $5,527.20 | $113.71 – $166.95 | 2 |