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Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm cost at US hospitals

DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM · HCPCS Q4104

$6,919.80

lowest cash price

$26,932.05

national median

$49,180.20

highest cash price

14

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $6,919.80–$49,180.20 — the variation is the story.

Cheapest published cash price

$6,919.80

UPMC St. Margaret — Pittsburgh, PA

Most expensive published cash price

$49,180.20

UPMC Presbyterian — Pittsburgh, PA

Median cash price over time

Mar 1, 2026 ($29,534.40) → Jul 1, 2026 ($26,932.05)

By state

State Hospitals Lowest cash Median Highest
Maryland 1 $10,534.20 $10,534.20 $10,534.20
New Jersey 1 not published by hospital not published by hospital not published by hospital
Ohio 7 $26,932.05 $26,932.05 $26,932.05
Pennsylvania 6 $6,919.80 $29,534.40 $49,180.20

All hospitals

Hospital Location Cash price Negotiated range
UPMC St. Margaret Pittsburgh, PA $6,919.80 $22.27 – $4,682.65
UPMC Western Maryland Cumberland, MD $10,534.20 $17,557.00 – $17,557.00
University Hospitals Geneva Medical Center Geneva, OH $26,932.05 $173.56 – $7,205.21
University Hospitals St. John Medical Center Westlake OH, OH $26,932.05 $90.30 – $7,205.21
University Hospitals Samaritan Medical Center Ashland, OH $26,932.05 $120.69 – $217.24
University Hospitals Lake West Medical Center Willoughby OH 44094|7590 Auburn Road, OH $26,932.05 $117.73 – $211.92
University Hospitals Parma Medical Center Parma OH 44129|7007 Powers Boulevard, OH $26,932.05 $102.13 – $211.92
University Hospitals Portage Medical Center Ravenna OH 44266, OH $26,932.05 $127.14 – $228.85
University Hospitals Cleveland Medical Center Cleveland OH 44106|3999 Richmond Road, OH $26,932.05 $117.73 – $211.92
UPMC Williamsport Williamsport, PA $28,128.00 $51.00 – $8,371.80
UPMC Muncy Muncy, PA $29,534.40 $56.10 – $10,044.00
UPMC Passavant-McCandless Pittsburgh, PA $34,796.40 $22.27 – $20,872.04
UPMC Mercy Pittsburgh, PA $36,884.40 $22.06 – $8,919.90
UPMC Presbyterian Pittsburgh, PA $49,180.20 $22.27 – $14,807.00
JFK Johnson Rehabilitation Institute (JRI) Edison, NJ not published $45.70 – $65.88

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