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
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis, MO $5,085.77 $38.67 – $149.57
SONORA COMMUNITY HOSPITAL Sonora, CA $5,221.21 $17.03 – $251.05
UPMC Horizon-Greenville Greenville, PA $5,257.20 $32.20 – $56.23
Ascension St. Vincent Carmel Ambulatory Surgery Center Carmel, IN $5,301.00 $14.33 – $108.92
Ascension St. Vincent Naab Surgery Center Indianapolis, IN $5,301.00 $14.33 – $108.92
Pen Bay Medical Center Rockport, ME $5,503.50 $48.58 – $3,219.31
WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA $5,528.34 $17.03 – $46,990.89
HANFORD COMMUNITY HOSPITAL Selma, CA $5,835.47 $17.03 – $251.05
REEDLEY COMMUNITY HOSPITAL Reedley, CA $5,835.47 $17.03 – $596.00
MercyOne New Hampton Medical Center New Hampton, IA $5,917.86 $34.92 – $88.20
MercyOne Waterloo Medical Center Waterloo, IA $6,228.55 $17.46 – $74.31
MercyOne Dubuque Medical Center Dubuque, IA $6,228.55 $17.86 – $74.31
MercyOne Dyersville Medical Center Dyersville, IA $6,228.55 $28.09 – $83.64
MercyOne Clinton Medical Center Clinton, IA $6,228.55 $17.86 – $74.31
MercyOne Oelwein Medical Center Oelwein, IA $6,228.55 $28.40 – $74.31
MercyOne Cedar Falls Medical Center Cedar Falls, IA $6,228.55 $15.98 – $74.31
MercyOne Elkader Medical Center Elkader, IA $6,228.55 $38.25 – $77.67
MercyOne Des Moines Medical Center Des Moines, IA $6,228.55 $14.94 – $74.31
MercyOne Newton Medical Center Newton, IA $6,228.55 $18.43 – $74.31
MercyOne North Iowa Medical Center Mason City, IA $6,228.55 $18.43 – $74.31
LeConte Medical Center Sevierville, TN $6,313.78 $120.92 – $11,436.84
CHI Health Mercy Council Bluffs Council Bluffs, IA $6,394.90 $9.93 – $56.27
CHI Health Creighton University Medical Center - Bergan Mercy Omaha, NE $6,394.90 $11.26 – $56.27
Lasting Hope Recovery Center Omaha, NE $6,394.90 $11.26 – $56.27
CHI Health Immanuel Omaha, NE $6,394.90 $9.27 – $56.27
CHI Health Lakeside Omaha, NE $6,394.90 $10.60 – $56.27
CHI Health Midlands Papillion, NE $6,394.90 $11.92 – $56.27
UPMC Magee Pittsburgh, PA $6,688.20 $22.27 – $54.40
RIDEOUT MEMORIAL HOSPITAL Marysville, CA $6,756.86 $12.82 – $1,474.00
UPMC St. Margaret Pittsburgh, PA $6,919.80 $22.27 – $62.73
CHI Health Nebraska Heart Lincoln, NE $7,003.93 $50.46 – $10,226.32
Fort Loudoun Medical Center Lenoir City, TN $7,184.64 $112.91 – $11,436.84
Methodist Medical Center of Oak Ridge Oak Ridge, TN $7,184.64 $112.91 – $9,603.00
SSM Health Saint Louis University Hospital Saint Louis, MO $7,196.43 $44.40 – $149.57
SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES Simi Valley, CA $7,247.52 $32.33 – $338.45
CHI Health Mercy Corning Corning, IA $7,308.45 $48.88 – $4,076.89
CHI Health Missouri Valley Missouri Valley, IA $7,460.71 $48.88 – $4,076.89
Orange County Anaheim Medical Center Anaheim, CA $7,465.97 not published
Baldwin Park Medical Center BALDWIN PARK, CA $7,465.97 not published
Downey Medical Center Downey, CA $7,465.97 not published
San Bernardino - Fontana Medical Center FONTANA, CA $7,465.97 not published
Riverside Medical Center RIVERSIDE, CA $7,465.97 not published
South Bay Medical Center HARBOR CITY, CA $7,465.97 not published
San Marcos Medical Center SAN MARCOS, CA $7,465.97 not published
West Los Angeles Medical Center LOS ANGELES, CA $7,465.97 not published
Woodland Hills Medical Center WOODLAND HILLS, CA $7,465.97 not published
Panorama Medical Center PANORAMA CITY, CA $7,465.97 not published
San Diego Clairemont Mesa Medical Center SAN DIEGO, CA $7,465.97 not published
Los Angeles Sunset Medical Center LOS ANGELES, CA $7,465.97 not published
Moreno Valley Medical Center MORENO VALLEY, CA $7,465.97 not published

Related procedures procedures