Allograft graftjacket 2x12cm-q4107-cost per sq cm cost in Virginia
ALLOGRAFT GRAFTJACKET 2X12CM-Q4107-COST PER SQ CM · HCPCS Q4107
$2,217.00
lowest in Virginia
$3,178.00
state median
$4,231.00
highest in Virginia
$4,906.77
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $2,217.00 | $336.92 – $336.92 | 1 |
| Inova Alexandria Hospital | Alexandria | $3,178.00 | $85.96 – $502.55 | 5 |
| Inova Fairfax Hospital | Falls Church | $3,178.00 | $85.96 – $502.55 | 5 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $3,178.00 | $85.96 – $502.55 | 5 |
| Inova Loudoun Hospital | Leesburg | $3,178.00 | $85.96 – $502.55 | 5 |
| Inova Mount Vernon Hospital | Alexandria | $3,178.00 | $85.96 – $502.55 | 5 |
| TRICITIES HOSPITAL | HOPEWELL | $4,231.00 | $336.92 – $336.92 | 1 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | not published | $336.92 – $336.92 | 1 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $336.92 – $336.92 | 1 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | not published | $336.92 – $336.92 | 1 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $336.92 – $336.92 | 1 |
| LEWISGALE MEDICAL CENTER | ROANOKE | not published | $381.42 – $381.42 | 1 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $336.92 – $336.92 | 1 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $336.92 – $336.92 | 1 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $336.92 – $336.92 | 1 |