Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm cost in Nebraska
DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM · HCPCS Q4104
$6,394.90
lowest in Nebraska
$7,003.93
state median
$12,942.05
highest in Nebraska
$8,040.27
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $6,394.90 | $11.26 – $56.27 | 13 |
| Lasting Hope Recovery Center | Omaha | $6,394.90 | $11.26 – $56.27 | 12 |
| CHI Health Immanuel | Omaha | $6,394.90 | $9.27 – $56.27 | 13 |
| CHI Health Lakeside | Omaha | $6,394.90 | $10.60 – $56.27 | 13 |
| CHI Health Midlands | Papillion | $6,394.90 | $11.92 – $56.27 | 13 |
| CHI Health Nebraska Heart | Lincoln | $7,003.93 | $50.46 – $10,226.32 | 11 |
| CHI Health St. Elizabeth | Lincoln | $7,612.97 | $15.23 – $52.96 | 11 |
| CHI Health St. Francis | Grand Island | $8,983.30 | $50.46 – $11,722.85 | 12 |
| CHI Health Good Samaritan | Kearney | $9,287.82 | $42.05 – $11,598.14 | 12 |
| CHI Health St. Mary's | Nebraska City | $12,637.53 | $2,671.32 – $11,972.27 | 16 |
| CHI Health Plainview | Plainview | $12,789.79 | $2,537.66 – $5,633.60 | 19 |
| CHI Health Schuyler | Schuyler | $12,942.05 | $891.10 – $4,710.06 | 18 |