Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm cost in Pennsylvania
DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM · HCPCS Q4104
$244.50
lowest in Pennsylvania
$14,389.80
state median
$36,884.40
highest in Pennsylvania
$7,465.97
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Uniontown Hospital | Uniontown | $244.50 | $126.52 – $294.79 | 20 |
| UPMC Cole | Coudersport | $3,286.80 | $56.10 – $4,382.40 | 14 |
| UPMC Horizon-Greenville | Greenville | $5,257.20 | $32.20 – $56.23 | 2 |
| UPMC Magee | Pittsburgh | $6,688.20 | $22.27 – $54.40 | 3 |
| UPMC St. Margaret | Pittsburgh | $6,919.80 | $22.27 – $62.73 | 3 |
| UPMC Jameson | New Castle | $10,660.80 | $22.45 – $51.51 | 4 |
| UPMC Altoona | Altoona | $14,389.80 | $22.06 – $5,552.80 | 12 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $18,762.68 | $51.00 – $174.27 | 5 |
| UPMC East | Monroeville | $22,306.80 | $22.27 – $7,009.60 | 13 |
| UPMC Williamsport | Williamsport | $28,128.00 | $51.00 – $56.10 | 2 |
| UPMC Muncy | Muncy | $29,534.40 | $56.10 – $56.10 | 1 |
| UPMC Hamot | Erie | $33,291.60 | $22.06 – $75.02 | 3 |
| UPMC Passavant-McCandless | Pittsburgh | $34,796.40 | $22.27 – $51.00 | 5 |
| UPMC Mercy | Pittsburgh | $36,884.40 | $22.06 – $51.00 | 3 |