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
Henry Ford Warren Hospital Warren, MI $1,853.60 $48.54 – $48.54
Robert Wood Johnson University Hospital Rahway Rahway, NJ $1,863.66 $52.40 – $59.68
Adventhealth Palm Coast Palm Coast, FL $1,932.18 not published
Adventhealth Lake Wales Lake Wales, FL $1,932.18 not published
Adventhealth Palm Coast Parkway Palm Coast, FL $1,932.18 not published
CHI Saint Joseph Health - Saint Joseph Berea Berea, KY $2,005.39 $613.66 – $2,024.03
Clara Maass Medical Center Belleville, NJ $2,052.50 $52.40 – $64.45
CHI Saint Joseph Health - Saint Joseph Hospital Lexington, KY $2,095.10 $522.47 – $2,024.03
Community Medical Center Toms River, NJ $2,140.22 $52.40 – $62.88
Jersey City Medical Center Jersey City, NJ $2,144.35 $52.40 – $62.88
Newark Beth Israel Medical Center Newark, NJ $2,149.51 $52.40 – $64.45
Cooperman Barnabas Medical Center Livingston, NJ $2,186.65 $52.40 – $64.45
Monmouth Medical Center Long Branch, NJ $2,257.86 $52.40 – $64.45
Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ $2,367.86 $52.51 – $62.88
Robert Wood Johnson University Hospital Somerset Somerville, NJ $2,441.54 $52.40 – $62.88
Monmouth Medical Center Southern Campus Lakewood, NJ $2,452.89 $52.40 – $64.45
HSHS St. Vincent Hospital Green Bay, WI $2,544.61 $84.20 – $271.97
Mid Coast Hospital Brunswick, ME $2,580.30 $48.58 – $2,435.80
Trinitas Regional Medical Center Elizabeth, NJ $2,711.70 $43.43 – $319.64
Lincoln Health Damariscotta, ME $2,812.27 $48.58 – $2,643.53
Robert Wood Johnson University Hospital New Brunswick, NJ $3,081.54 $52.40 – $65.50
UPMC Cole Coudersport, PA $3,286.80 $56.10 – $4,382.40
Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) Fishers, IN $3,376.20 $14.33 – $108.92
Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) Elwood, IN $3,483.60 $14.33 – $108.92
Camden Clark Medical Center Parkersburg, WV $3,496.45 $126.52 – $221.41
Reynolds Memorial Hospital Glen Dale, WV $3,496.45 $81.72 – $221.41
Morristown-Hamblen Hospital Association Morristown, TN $3,812.28 $112.91 – $11,436.84
HSHS St. Nicholas Hospital SHEBOYGAN, WI $3,814.37 $84.15 – $273.83
euclid hospital Euclid, OH $4,519.45 $109.65 – $6,257.70
fairview hospital Cleveland, OH $4,519.45 $112.66 – $6,257.70
lutheran hospital Cleveland, OH $4,519.45 $109.65 – $6,257.70
hillcrest hospital Mayfield Heights, OH $4,519.45 $112.66 – $6,257.70
avon hospital Avon, OH $4,519.45 $109.65 – $6,257.70
marymount hospital Garfield Heights, OH $4,519.45 $109.65 – $6,257.70
medina hospital Medina, OH $4,519.45 $109.65 – $6,257.70
mercy hospital Canton, OH $4,519.45 $109.65 – $6,257.70
south pointe hospital Warrensville Heights, OH $4,519.45 $109.65 – $6,257.70
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA $4,606.95 $17.03 – $313.81
ST HELENA HOSPITAL Vallejo, CA $4,606.95 $17.03 – $301.91
St. Joseph Health Grimes Hospital Navasota, TX $4,810.58 $52.40 – $23,124.63
St. Joseph Health Burleson Hospital Caldwell, TX $4,810.58 $52.40 – $18,749.70
St. Joseph Health Madison Hospital Madisonville, TX $4,810.58 $52.40 – $18,749.70
St. Joseph Health College Station Hospital College Station, TX $4,810.58 $52.40 – $19,242.30
Thomas Hospitals South Charleston, WV $5,067.35 $81.72 – $640.31
West Virginia University Hospitals Morgantown, WV $5,067.35 $81.72 – $536.00
SSM Health St. Clare Hospital - Fenton Fenton, MO $5,085.77 $38.67 – $149.57
SSM Health DePaul Hospital - St. Louis Bridgeton, MO $5,085.77 $38.67 – $149.57
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO $5,085.77 $38.67 – $86.68
SSM Health St. Joseph Hospital - St. Charles Saint Charles, MO $5,085.77 $38.67 – $149.57
SSM Health St. Mary's Hospital - St. Louis Richmond Heights, MO $5,085.77 $38.67 – $149.57

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