Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm cost at US hospitals

DRSG WND MESH BOVINE BILAYER 4X10IN MATRIX-Q4104-COST PER SQ CM · HCPCS Q4104

$244.50

lowest cash price

$7,465.97

national median

$46,276.42

highest cash price

393

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $244.50–$46,276.42 — the variation is the story.

Cheapest published cash price

$244.50

Uniontown Hospital — Uniontown, PA

Most expensive published cash price

$46,276.42

Santa Rosa Memorial Hospital — Santa Rosa, CA

Median cash price over time

Sep 1, 2025 ($2,812.27) → Sep 1, 2026 ($15,214.80)

By state

State Hospitals Lowest cash Median Highest
Alaska 4 $16,467.61 $28,029.98 $34,453.51
Arizona 5 $7,626.62 $12,232.79 $29,737.02
California 77 $4,606.95 $8,040.27 $46,276.42
Colorado 7 $1,466.00 $1,466.00 $1,466.00
Florida 38 $829.00 $1,756.52 $10,494.90
Georgia 11 not published by hospital not published by hospital not published by hospital
Hawaii 1 $9,828.16 $9,828.16 $9,828.16
Illinois 18 $268.88 $487.54 $15,122.55
Indiana 16 $1,413.71 $16,014.00 $19,358.40
Iowa 27 $388.70 $6,228.55 $9,582.38
Kansas 4 $296.67 $296.67 $296.67
Kentucky 15 $1,413.71 $1,484.47 $44,031.53
Louisiana 6 not published by hospital not published by hospital not published by hospital
Maine 7 $2,580.30 $2,812.27 $5,503.50
Maryland 1 $10,534.20 $10,534.20 $10,534.20
Michigan 10 $1,853.60 $1,853.60 $1,853.60
Minnesota 6 $247.91 $247.91 $247.91
Missouri 13 $5,085.77 $5,085.77 $7,196.43
Montana 2 $19,165.79 $19,165.79 $19,165.79
Nebraska 13 $280.63 $7,003.93 $12,942.05
Nevada 2 $10,112.86 $10,112.86 $11,198.14
New Hampshire 1 $15,495.00 $15,495.00 $15,495.00
New Jersey 21 $1,863.66 $2,186.65 $3,081.54
New Mexico 3 $28,551.05 $28,551.05 $28,551.05
New York 11 not published by hospital not published by hospital not published by hospital
North Carolina 12 not published by hospital not published by hospital not published by hospital
Ohio 55 $306.15 $26,932.05 $42,349.10
Oklahoma 4 $12,735.45 $12,735.45 $12,735.45
Oregon 10 $13,017.58 $29,983.99 $29,983.99
Pennsylvania 14 $244.50 $14,389.80 $36,884.40
South Carolina 3 $281.50 $281.50 $281.50
South Dakota 1 $414.40 $414.40 $414.40
Tennessee 18 $333.55 $6,313.78 $12,607.30
Texas 104 $245.13 $409.86 $28,551.05
Virginia 19 $333.55 $19,031.17 $36,977.65
Washington 30 $8,806.01 $19,913.20 $36,594.69
West Virginia 6 $980.50 $3,496.45 $5,067.35
Wisconsin 23 $341.73 $674.58 $8,543.70

All hospitals

Hospital Location Cash price Negotiated range
Soin Medical Center Beaver Creek, OH not published $63.93 – $329.42
Kettering Health Dayton (Grandview) Dayton, OH not published $63.93 – $329.42
Kettering Health Miamisburg (Sycamore) Miamisburg, OH not published $63.93 – $331.47
Kettering Health Main Campus (Kettering) Kettering, OH not published $63.93 – $329.42
MultiCare Yakima Memorial Hospital Yakima, WA not published $148.46 – $248.89
Canton-Potsdam Hospital Potsdam, NY not published $55.48 – $126.93
Gouverneur Hospital Gouverneur, NY not published $55.48 – $55.48
Clifton Springs Hospital and Clinic Clifton Springs, NY not published $35.21 – $55.48
The Unity Hospital of Rochester Rochester, NY not published $49.93 – $55.48
MEDICAL CITY FORT WORTH HOSPITAL FT WORTH, TX not published $138.76 – $325.30
Houston Methodist Cypress Hospital Cypress, TX not published $125.01 – $243.77
Houston Methodist Continuing Care Hospital Katy, TX not published $294.51 – $294.51
Houston Methodist The Woodlands Hospital The Woodlands, TX not published $125.01 – $250.02
Houston Methodist Clear Lake Hospital Nassau Bay, TX not published $125.01 – $243.77
Houston Methodist Willowbrook Hospital Houston, TX not published $125.01 – $243.77
Houston Methodist Baytown Hospital Baytown, TX not published $125.01 – $243.77
Houston Methodist West Hospital Houston, TX not published $125.01 – $500.05
Houston Methodist Sugar Land Hospital Sugar Land, TX not published $125.01 – $243.77
Houston Methodist Hospital Houston, TX not published $125.01 – $500.05
Texas Health Huguley Hospital Fort Worth South Burleson, TX not published $81.37 – $250.44
Texas Health Hospital Mansfield Mansfield, TX not published $81.37 – $250.02
OSF Saint Francis Medical Center Peoria, IL not published $37.56 – $453.36
OSF Saint Anthony's Health Center Alton, IL not published $133.36 – $136.02
OSF Saint Anthony Medical Center Rockford, IL not published $37.56 – $466.75
MEDICAL CITY ARGYLE HOSPITAL Argyle, TX not published $138.76 – $325.30
CHRISTUS Health - West Beaumont Beaumont, TX not published $49.79 – $156.86
Cumberland Medical Center, Inc. Crossville, TN not published $120.92 – $126.97
CHRISTUS St. Michael Hospital - Atlanta Atlanta, TX not published $11.87 – $174.96
CHRISTUS Good Shepherd Medical Center - Longview Longview, TX not published $48.96 – $4,591.38
Gerald Champion Regional Medical Center Alamogordo, NM not published $44.22 – $48.64
CHRISTUS Spohn Hospital Corpus Christi - Shoreline Corpus Christi, TX not published $47.40 – $163.61
CHRISTUS St. Michael Rehabilitation Texarkana, TX not published $11.87 – $80.50
Claiborne Medical Center Tazewell, TN not published $120.92 – $126.97
Roane County Medical Center Harriman, TN not published $112.91 – $118.56
CHRISTUS Spohn Hospital - Kleberg Kingsville, TX not published $49.79 – $163.61
CHRISTUS Spohn Hospital - Beeville Beeville, TX not published $47.40 – $163.61
CHRISTUS Spohn Hospital - Alice Alice, TX not published $47.40 – $163.61
CHRISTUS Southeast Texas Jasper Memorial Jasper, TX not published $49.79 – $177.37
CHRISTUS Santa Rosa Hospital - San Marcos San Marcos, TX not published $49.79 – $184.73
CHRISTUS Trinity Mother Frances Hospital - Winnsboro Winnsboro, TX not published $49.79 – $68.78
CHRISTUS Trinity Mother Frances Hospital - South Tyler Tyler, TX not published $49.79 – $68.78
CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs Sulphur Springs, TX not published $111.41 – $111.41
CHRISTUS Trinity Mother Frances Hospital - Jacksonville Jacksonville, TX not published $49.79 – $68.78
CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital Tyler, TX not published $49.79 – $68.78
CHRISTUS Good Shepherd Medical Center - Marshall Marshall, TX not published $48.96 – $4,591.38
SSM Health Ripon Community Hospital Ripon, WI not published $54.77 – $142.66
SSM Health Monroe Hospital Monroe, WI not published $49.79 – $135.55
Hardin Memorial Hospital Kenton, OH not published $89.07 – $89.07
SSM Health St. Anthony Hospital - Shawnee Shawnee, OK not published $61.74 – $233.39
Atrium Health Carolinas Medical Center Charlotte, NC not published $22.58 – $52.97

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