Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm cost in Indiana
DRSG OASIS BURN WOUND MATRIX 3X3.5CM 10.5SQCM-Q4103-COST PER SQ CM · HCPCS Q4103
$2,589.60
lowest in Indiana
$2,589.60
state median
$2,589.60
highest in Indiana
$1,575.70
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo | $2,589.60 | $1.97 – $108.92 | 20 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City | not published | $20.10 – $197.50 | 6 |
| Parkview Ortho Hospital | Fort Wayne | not published | $20.10 – $197.50 | 6 |
| Parkview Noble Hospital | Kendallville | not published | $20.10 – $197.50 | 6 |
| Parkview Wabash Hospital | Wabash | not published | $20.10 – $209.78 | 2 |
| Parkview LaGrange Hospital | Lagrange | not published | $20.10 – $209.78 | 2 |
| Parkview Huntington Hospital | Huntington | not published | $20.10 – $197.50 | 6 |
| Parkview DeKalb Hospital | Auburn | not published | $20.10 – $197.50 | 6 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne | not published | $20.10 – $197.50 | 6 |