Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm cost at US hospitals

DRSG OASIS BURN WOUND MATRIX 3X3.5CM 10.5SQCM-Q4103-COST PER SQ CM · HCPCS Q4103

$10.96

lowest cash price

$119.50

national median

$1,575.70

highest cash price

118

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $10.96–$1,575.70 — the variation is the story.

Cheapest published cash price

$10.96

CHI Memorial Hospital - Georgia — Ringgold, GA

Most expensive published cash price

$1,575.70

St. Joseph Health College Station Hospital — College Station, TX

Median cash price over time

Jan 1, 2026 ($822.03) → Sep 1, 2026 ($127.14)

By state

State Hospitals Lowest cash Median Highest
Arizona 3 $267.02 $811.80 $884.40
California 24 $13.60 $14.00 $1,356.81
Colorado 12 not published by hospital not published by hospital not published by hospital
Florida 16 not published by hospital not published by hospital not published by hospital
Georgia 13 $10.96 $60.20 $60.20
Illinois 13 not published by hospital not published by hospital not published by hospital
Indiana 8 not published by hospital not published by hospital not published by hospital
Iowa 24 $156.82 $156.82 $241.26
Kansas 2 not published by hospital not published by hospital not published by hospital
Kentucky 1 not published by hospital not published by hospital not published by hospital
Louisiana 6 not published by hospital not published by hospital not published by hospital
Maine 7 not published by hospital not published by hospital not published by hospital
Michigan 10 $31.96 $171.12 $171.12
Minnesota 2 $54.55 $54.55 $54.55
Missouri 15 $31.85 $388.01 $388.01
Montana 1 not published by hospital not published by hospital not published by hospital
Nebraska 1 $15.32 $15.32 $15.32
New Hampshire 1 not published by hospital not published by hospital not published by hospital
New Jersey 21 not published by hospital not published by hospital not published by hospital
New Mexico 2 not published by hospital not published by hospital not published by hospital
New York 16 $127.14 $127.14 $127.14
North Dakota 2 $51.14 $51.14 $61.36
Ohio 45 $489.50 $489.50 $701.75
Oklahoma 3 not published by hospital not published by hospital not published by hospital
Pennsylvania 1 $143.50 $143.50 $143.50
South Carolina 9 $76.00 $76.50 $90.00
South Dakota 1 $108.80 $108.80 $108.80
Tennessee 20 $10.96 $15.66 $28.95
Texas 64 $11.75 $11.75 $1,575.70
Virginia 11 not published by hospital not published by hospital not published by hospital
Washington 9 not published by hospital not published by hospital not published by hospital
West Virginia 16 $119.50 $143.50 $745.40
Wisconsin 25 $822.03 $1,357.71 $1,459.20

All hospitals

Hospital Location Cash price Negotiated range
MUSC Health Main Campus - Charleston Charleston, SC $76.50 $18.90 – $127.32
MUSC Health Florence Medical Center Florence, SC $76.50 $18.90 – $127.32
MUSC Health Orangeburg Medical Center Orangeburg, SC $76.50 not published
MUSC Health Lancaster Medical Center Lancaster, SC $76.50 $18.90 – $133.02
MUSC Health Chester Medical Center Chester, SC $90.00 $18.90 – $132.32
Sanford USD Medical Center Sioux Falls, SD $108.80 $1.00 – $55.80
Braxton County Memorial Hospital Gassaway, WV $119.50 $21.43 – $21.43
Jackson General Hospital Ripley, WV $119.50 $21.43 – $21.43
Jefferson Medical Center Ranson, WV $119.50 $21.43 – $21.43
Potomac Valley Hospital Keyser, WV $119.50 $21.43 – $21.43
St. Joseph's Hospital Buckhannon, WV $119.50 $21.43 – $21.43
Summersville Regional Medical Center Summersville, WV $119.50 $21.43 – $21.43
Bellevue Hospital Center NY 10016, NY $127.14 $9.69 – $310.68
Kings County Hospital Center Brooklyn, NY $127.14 $9.69 – $310.68
Woodhull Medical Center Brooklyn, NY $127.14 $9.69 – $310.68
Queens Hospital Center Jamaica, NY $127.14 $9.69 – $310.68
United Hospital Center Bridgeport, WV $143.50 $21.43 – $221.41
Berkeley Medical Center Martinsburg, WV $143.50 $21.43 – $221.41
Camden Clark Medical Center Parkersburg, WV $143.50 $126.52 – $221.41
Princeton Community Hospital Princeton, WV $143.50 $126.52 – $736.93
Reynolds Memorial Hospital Glen Dale, WV $143.50 $21.43 – $221.41
Uniontown Hospital Uniontown, PA $143.50 $126.52 – $294.79
Wetzel County Hospital New Martinsville, WV $143.50 $21.43 – $221.41
Weirton Medical Center Weirton, WV $143.50 $126.52 – $643.91
MercyOne Waterloo Medical Center Waterloo, IA $156.82 $48.25 – $241.26
MercyOne Dubuque Medical Center Dubuque, IA $156.82 $46.76 – $241.26
MercyOne Dyersville Medical Center Dyersville, IA $156.82 $91.20 – $271.56
MercyOne Clinton Medical Center Clinton, IA $156.82 $46.76 – $241.26
MercyOne Oelwein Medical Center Oelwein, IA $156.82 $92.21 – $241.26
MercyOne Cedar Falls Medical Center Cedar Falls, IA $156.82 $41.83 – $241.26
MercyOne Elkader Medical Center Elkader, IA $156.82 $124.18 – $252.16
MercyOne Des Moines Medical Center Des Moines, IA $156.82 $39.37 – $241.26
MercyOne Newton Medical Center Newton, IA $156.82 $48.25 – $241.26
MercyOne North Iowa Medical Center Mason City, IA $156.82 $48.25 – $241.26
West Virginia University Hospitals Morgantown, WV $159.00 $21.43 – $536.00
MercyOne New Hampton Medical Center New Hampton, IA $162.87 $99.20 – $250.57
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr., MI $171.12 $11.49 – $7,739.98
Henry Ford West Bloomfield Hospital West Bloomfield, MI $171.12 $11.49 – $4,961.51
Henry Ford Wyandotte Hospital: Wyandotte, MI $171.12 $11.49 – $5,635.55
Henry Ford Macomb Hospital Clinton Twp, MI $171.12 $11.49 – $5,610.15
MercyOne West Des Moines Medical Center West Des Moines, IA $241.26 $39.37 – $241.26
MercyOne Centerville Medical Center Centerville, IA $241.26 $66.20 – $241.26
Ascension Seton Cedar Park Hospital Cedar Park, TX $242.94 $5.30 – $6.45
St. Joseph’s Hospital and Medical Center Phoenix, AZ $267.02 $1.90 – $10.00
SSM Health St. Clare Hospital - Fenton Fenton, MO $388.01 $22.72 – $149.57
SSM Health DePaul Hospital - St. Louis Bridgeton, MO $388.01 $22.72 – $149.57
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO $388.01 $22.72 – $22.72
SSM Health St. Joseph Hospital - St. Charles Saint Charles, MO $388.01 $22.72 – $149.57
SSM Health St. Mary's Hospital - St. Louis Richmond Heights, MO $388.01 $22.72 – $149.57
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis, MO $388.01 $22.72 – $149.57

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