Derma-gide, 1 sq cm cost in Louisiana

Derma-gide, 1 sq cm · HCPCS Q4203

Hospital City Cash price Negotiated range Payers
CHRISTUS St. Francis Cabrini Hospital Alexandria not published $374.50 – $374.50 1
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport not published $374.50 – $374.50 1
CHRISTUS Ochsner St. Patrick Hospital Lake Charles not published $374.50 – $374.50 1
CHRISTUS Ochsner Lake Area Hospital Lake Charles not published $374.50 – $374.50 1
CHRISTUS Louisiana Surgical Hospital Alexandria not published $330.20 – $765.46 2
CHRISTUS Coushatta Health Care Center Coushatta not published $374.50 – $374.50 1