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
Wellstar Sylvan Grove Hospital Jackson, GA not published $99.87 – $99.87
Wellstar Spalding Regional Hospital Griffin, GA not published $99.87 – $244.65
Wellstar Paulding Hospital Hiram, GA not published $99.87 – $233.84
Wellstar North Fulton Hospital Roswell, GA not published $99.87 – $233.84
Corewell Health Wayne Wayne, MI not published $25.91 – $167.47
Corewell Health Troy Troy, MI not published $29.36 – $167.40
Corewell Health Trenton Trenton, MI not published $26.01 – $167.47
Corewell Health Taylor Taylor, MI not published $26.15 – $167.47
Corewell Health Gross Pointe Grosse Pointe, MI not published $26.03 – $167.47
Corewell Health Blodgett Hospital East Grand Rapids, MI not published $71.05 – $223.19
Aurora Medical Center Washington County Hartford, WI not published $50.13 – $127.85
Aurora Psychiatric Hospital Wauwatosa, WI not published $50.13 – $127.85
Aurora Medical Center Sheboygan County Sheboygan, WI not published $50.13 – $127.85
Aurora Medical Center Fond du Lac Fond Du Lac, WI not published $50.13 – $127.85
Aurora Medical Center Manitowoc Two Rivers, WI not published $50.13 – $127.85
UnityPoint Health - Allen Hospital Waterloo, IA not published $33.51 – $64.39
Aurora Medical Center Bay Area Marinette, WI not published $50.13 – $127.85
South Brooklyn Health Brooklyn, NY not published $51.00 – $310.68
HCA FLORIDA SOUTH SHORE HOSPITAL PARRISH, FL not published $48.30 – $273.35
Shelby Hospital Shelby, OH not published $91.39 – $91.39
Corewell Health Butterworth Hospital Grand Rapids, MI not published $71.05 – $223.19
SSM Health St. Mary's Hospital - Janesville Janesville, WI not published $72.20 – $125.35
Franklin Memorial Hospital Farmington, ME not published $48.58 – $103.58
SSM Health St. Clare Hospital - Baraboo Baraboo, WI not published $72.20 – $120.88
Wellstar MCG Health Augusta, GA not published $99.87 – $213.74
Wellstar Kennestone Hospital Marietta, GA not published $99.87 – $233.84
CHRISTUS Children's Hospital San Antonio, TX not published $105.39 – $105.39
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City, OK not published $56.76 – $233.39
Wellstar Douglas Hospital Douglasville, GA not published $99.87 – $231.74
Wellstar Cobb Hospital Austell, GA not published $99.87 – $233.84
MercyOne Genesis Aledo Medical Center Aledo, IL not published $21.90 – $21.90
Adventhealth Rollins Brook Lampasas, TX not published $154.85 – $154.85
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS, TX not published $49.79 – $256.03
CHRISTUS St. Vincent Regional Medical Center Santa Fe, NM not published $44.22 – $109.56
CHRISTUS St. Francis Cabrini Hospital Alexandria, LA not published $51.26 – $96.06
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport, LA not published $51.26 – $80.11
CHRISTUS Ochsner St. Patrick Hospital Lake Charles, LA not published $51.26 – $108.50
CHRISTUS Ochsner Lake Area Hospital Lake Charles, LA not published $51.26 – $108.50
CHRISTUS Louisiana Surgical Hospital Alexandria, LA not published $54.77 – $133.61
CHRISTUS Coushatta Health Care Center Coushatta, LA not published $51.26 – $52.50
SSM Health Cardinal Glennon Children's Hospital Saint Louis, MO not published $37.77 – $94.61
Jacobi Medical Center Bronx, NY not published $51.00 – $310.68
Elmhurst Hospital Center NY 11373, NY not published $51.00 – $310.68
SSM Health St. Mary's Hospital - Jefferson City Jefferson City, MO not published $30.22 – $224.36
Southern Ocean Medical Center Manahawkin, NJ not published $45.70 – $64.52
Grady Memorial Hospital Delaware, OH not published $89.07 – $124.79
SSM Health Waupun Memorial Hospital Waupun, WI not published $54.77 – $142.66
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac, WI not published $54.77 – $237.56
Riverview Medical Center Red Bank, NJ not published $45.70 – $64.52
Jersey Shore University Medical Center Neptune City, NJ not published $45.70 – $64.52

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