Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm cost in New York
DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM · HCPCS Q4104
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Canton-Potsdam Hospital | Potsdam | not published | $55.48 – $126.93 | 7 |
| Gouverneur Hospital | Gouverneur | not published | $55.48 – $55.48 | 1 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $35.21 – $55.48 | 3 |
| The Unity Hospital of Rochester | Rochester | not published | $49.93 – $55.48 | 3 |
| North Central Bronx | Bronx | not published | $51.00 – $310.68 | 11 |
| South Brooklyn Health | Brooklyn | not published | $51.00 – $310.68 | 11 |
| Jacobi Medical Center | Bronx | not published | $51.00 – $310.68 | 11 |
| Elmhurst Hospital Center | NY 11373 | not published | $51.00 – $310.68 | 11 |
| Harlem Hospital Center | New York | not published | $51.00 – $310.68 | 11 |
| Metropolitan Hospital Center | New York | not published | $51.00 – $310.68 | 11 |
| Lincoln Medical Center | Bronx | not published | $51.00 – $310.68 | 11 |