Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm cost in Indiana
DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM · HCPCS Q4104
$3,376.20
lowest in Indiana
$5,301.00
state median
$19,358.40
highest in Indiana
$12,735.45
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers | $3,376.20 | $14.33 – $108.92 | 19 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood | $3,483.60 | $14.33 – $108.92 | 20 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel | $5,301.00 | $14.33 – $108.92 | 21 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis | $5,301.00 | $14.33 – $108.92 | 21 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo | $19,358.40 | $14.33 – $108.92 | 20 |