Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm cost in Virginia
DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM · HCPCS Q4104
$3,540.00
lowest in Virginia
$19,031.17
state median
$19,031.17
highest in Virginia
$7,886.74
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| TRICITIES HOSPITAL | HOPEWELL | $3,540.00 | $42.32 – $336.92 | 5 |
| Inova Alexandria Hospital | Alexandria | $19,031.17 | $71.22 – $356.16 | 5 |
| Inova Fairfax Hospital | Falls Church | $19,031.17 | $71.22 – $356.16 | 5 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $19,031.17 | $71.22 – $356.16 | 5 |
| Inova Loudoun Hospital | Leesburg | $19,031.17 | $71.22 – $356.16 | 5 |
| Inova Mount Vernon Hospital | Alexandria | $19,031.17 | $71.22 – $356.16 | 5 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | not published | $42.32 – $336.92 | 5 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $37.34 – $336.92 | 4 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $48.30 – $336.92 | 4 |
| LEWISGALE MEDICAL CENTER | ROANOKE | not published | $42.32 – $381.42 | 4 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $37.34 – $336.92 | 4 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $42.32 – $336.92 | 4 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $42.32 – $336.92 | 4 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $42.32 – $336.92 | 5 |