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
Atrium Health University City Charlotte, NC not published $22.58 – $23.03
Carolinas Rehabilitation Charlotte Charlotte, NC not published $22.81 – $22.81
indian river hospital Vero Beach, FL not published $129.95 – $142.95
Providence St Joseph Medical Center Polson, MT not published $120.96 – $165.95
Atrium Health Union Monroe, NC not published $22.58 – $23.03
martin north hospital Stuart, FL not published $129.95 – $142.95
lodi hospital Lodi, OH not published $127.14 – $127.14
Atrium Health Lincoln Lincolnton, NC not published $22.58 – $23.03
Atrium Health Cabarrus Concord, NC not published $22.58 – $23.03
Atrium Health Cleveland Shelby, NC not published $22.58 – $23.03
Atrium Health Behavioral Health Charlotte Charlotte, NC not published $22.81 – $22.81
Adventhealth Redmond Rome, GA not published $47.63 – $359.56
Adventhealth Central Texas Killeen, TX not published $125.01 – $200.02
HCA FLORIDA NORTHSIDE HOSPITAL ST PETERSBURG, FL not published $48.30 – $273.35
Atrium Health Stanly Albermarle, NC not published $22.58 – $23.03
cleveland clinic florida weston hospital Weston, FL not published $43.99 – $142.95
akron general Akron, OH not published $35.66 – $303.05
Atrium Health Pineville Charlotte, NC not published $22.58 – $23.03
Atrium Health Mercy Charlotte, NC not published $22.58 – $52.97
Sanford Worthington Medical Center Worthington, MN not published $1.00 – $1.00
Adventhealth Port Charlotte Port Charlotte, FL not published $129.95 – $237.30
Atrium Health Anson Wadesboro, NC not published $22.58 – $23.03
UnityPoint Health - St. Luke's Hospital Cedar Rapids, IA not published $33.51 – $64.39
Southeastern Medical Center Cambridge, OH not published $89.07 – $122.44
UnityPoint Health - Trinity Muscatine Muscatine, IA not published $33.51 – $160.14
Berger Hospital Circleville, OH not published $89.07 – $119.99
UnityPoint Health - Trinity Moline Rock Island, IL not published $33.51 – $160.14
UnityPoint Health - Trinity Bettendorf Bettendorf, IA not published $33.51 – $64.39
UnityPoint Health - St. Lukes Downtown Sioux City, IA not published $33.51 – $64.39
UnityPoint Health - Meriter Hospital Madison, WI not published $41.42 – $53.76
UnityPoint Health - Marshalltown Marshalltown, IA not published $33.51 – $64.39
UnityPoint Health - Jones Regional Medical Center Anamosa, IA not published $33.51 – $64.39
SSM Health St. Mary's Hospital - Madison Madison, WI not published $71.81 – $120.88
UnityPoint Health - Iowa Lutheran Hospital Des Moines, IA not published $33.51 – $64.39
Advocate Good Samaritan Hospital Downers Grove, IL not published $61.96 – $167.41
UnityPoint Health - Grinnell Regional Medical Center Grinnell, IA not published $33.51 – $64.39
SSM Health St. Anthony Hospital - Midwest Midwest City, OK not published $56.76 – $233.39
Palisades Medical Center North Bergen, NJ not published $45.70 – $65.88
UnityPoint Health - Finley Hospital Dubuque, IA not published $33.51 – $160.14
Advocate Condell Medical Center Libertyville, IL not published $38.18 – $131.25
Advocate Christ Medical Center Oak Lawn, IL not published $60.53 – $167.41
MEDICAL CITY ARLINGTON HOSPITAL RED OAK, TX not published $138.76 – $325.30
Wellstar Windy Hill Hospital Marietta, GA not published $99.87 – $99.87
Stephens Memorial Hospital Norway, ME not published $48.58 – $103.58
MEDICAL CITY WEATHERFORD HOSPITAL Weatherford, TX not published $49.79 – $325.30
RESEARCH MEDICAL CENTER Kansas City, MO not published $209.78 – $209.78
MEDICAL CITY MCKINNEY HOSPITAL McKinney, TX not published $48.30 – $325.30
RESEARCH PSYCHIATRIC CENTER Kansas City, MO not published $49.79 – $49.79
North Central Bronx Bronx, NY not published $51.00 – $310.68
Wellstar West Georgia Medical Center Lagrange, GA not published $99.87 – $240.01

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