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
SSM Health Monroe Hospital Monroe, WI not published $12.53 – $37.59
Monmouth Medical Center Southern Campus Lakewood, NJ not published $12.48 – $15.35
Doctors Hospital Columbus, OH not published $21.22 – $122.62
Hardin Memorial Hospital Kenton, OH not published $21.22 – $21.22
SSM Health St. Anthony Hospital - Shawnee Shawnee, OK not published $20.05 – $233.39
University Hospitals Ahuja Medical Center Beachwood, OH not published $27.92 – $211.92
south pointe hospital Warrensville Heights, OH not published $13.00 – $129.51
mercy hospital Canton, OH not published $13.00 – $129.51
medina hospital Medina, OH not published $13.00 – $206.39
Monmouth Medical Center Long Branch, NJ not published $12.48 – $15.35
Providence St Joseph Medical Center Polson, MT not published $27.86 – $38.22
Jersey City Medical Center Jersey City, NJ not published $12.48 – $14.98
marymount hospital Garfield Heights, OH not published $13.00 – $254.88
martin north hospital Stuart, FL not published $129.95 – $142.95
lodi hospital Lodi, OH not published $127.14 – $127.14
AdventHealth Porter Denver, CO not published $13.24 – $242.86
Adventhealth Redmond Rome, GA not published $12.94 – $359.56
Adventhealth Central Texas Killeen, TX not published $5.93 – $200.02
AdventHealth Avista Louisville, CO not published $13.24 – $245.55
HCA FLORIDA NORTHSIDE HOSPITAL ST PETERSBURG, FL not published $12.15 – $273.35
hillcrest hospital Mayfield Heights, OH not published $13.00 – $323.77
UnityPoint Health - Trinity Bettendorf Bettendorf, IA not published $8.64 – $16.89
lutheran hospital Cleveland, OH not published $13.00 – $129.51
fairview hospital Cleveland, OH not published $13.00 – $323.77
euclid hospital Euclid, OH not published $13.00 – $129.51
cleveland clinic florida weston hospital Weston, FL not published $11.30 – $142.95
avon hospital Avon, OH not published $13.00 – $129.51
akron general Akron, OH not published $26.83 – $303.05
Sanford Worthington Medical Center Worthington, MN not published $1.00 – $1.00
Newark Beth Israel Medical Center Newark, NJ not published $12.48 – $15.35
Adventhealth Port Charlotte Port Charlotte, FL not published $129.95 – $237.30
Clara Maass Medical Center Belleville, NJ not published $12.48 – $15.35
Community Medical Center Toms River, NJ not published $12.48 – $14.98
UnityPoint Health - St. Luke's Hospital Cedar Rapids, IA not published $8.64 – $16.89
UnityPoint Health - Trinity Regional Medical Center Fort Dodge, IA not published $8.64 – $16.89
Southeastern Medical Center Cambridge, OH not published $21.22 – $122.44
Grant Medical Center Columbus, OH not published $21.22 – $119.99
UnityPoint Health - Trinity Muscatine Muscatine, IA not published $8.64 – $43.51
Berger Hospital Circleville, OH not published $21.22 – $32.14
UnityPoint Health - Trinity Moline Rock Island, IL not published $8.64 – $43.51
UnityPoint Health - St. Lukes Downtown Sioux City, IA not published $8.64 – $16.89
UnityPoint Health - Meriter Hospital Madison, WI not published $8.64 – $12.38
UnityPoint Health - Marshalltown Marshalltown, IA not published $8.64 – $16.89
UnityPoint Health - Jones Regional Medical Center Anamosa, IA not published $8.64 – $16.89
SSM Health St. Mary's Hospital - Madison Madison, WI not published $17.93 – $120.88
UnityPoint Health - Iowa Lutheran Hospital Des Moines, IA not published $8.64 – $16.89
Advocate Good Samaritan Hospital Downers Grove, IL not published $20.39 – $41.78
UnityPoint Health - Grinnell Regional Medical Center Grinnell, IA not published $8.64 – $16.89
SSM Health St. Anthony Hospital - Midwest Midwest City, OK not published $18.80 – $233.39
Palisades Medical Center North Bergen, NJ not published $10.52 – $17.28

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