Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm cost in Arizona
DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM · HCPCS Q4104
$7,626.62
lowest in Arizona
$12,232.79
state median
$29,737.02
highest in Arizona
$10,534.20
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Arizona General Hospital Laveen | Phoenix | $7,626.62 | $53.71 – $14,011.55 | 7 |
| Arizona General Hospital Mesa | Mesa | $8,226.09 | $53.71 – $14,011.55 | 7 |
| St. Joseph’s Hospital and Medical Center | Phoenix | $12,232.79 | $53.71 – $4,532.23 | 12 |
| Mercy Gilbert Medical Center | Gilbert | $27,295.92 | $53.71 – $16,012.15 | 8 |
| Chandler Regional Medical Center | Chandler | $29,737.02 | $53.71 – $17,467.80 | 8 |