Derma-gide, 1 sq cm cost in California

Derma-gide, 1 sq cm · HCPCS Q4203

Hospital City Cash price Negotiated range Payers
Providence St Joseph Hospital Orange Orange not published $136.05 – $1,535.00 7
Providence Mission Hospital - Mission Viejo Mission Viejo not published $136.05 – $1,597.00 7
Santa Rosa Memorial Hospital Santa Rosa not published $173.16 – $691.00 4
St Jude Medical Center Fullerton not published $136.05 – $1,293.00 7
Providence Saint Joseph Medical Center Burbank not published $160.06 – $645.39 9
Redwood Memorial Hospital Fortuna not published $1,742.74 – $1,847.00 2
Healdsburg Hospital Healdsburg not published $167.67 – $721.00 2
Providence St Joseph Hospital Eureka Eureka not published $160.06 – $1,802.00 3
Queen of The Valley Medical Center Napa not published $176.69 – $1,727.00 3
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $160.06 – $645.39 9
Petaluma Valley Hospital Petaluma not published $167.70 – $645.39 4