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
CHI Health St. Mary's Nebraska City, NE $12,637.53 $2,671.32 – $11,972.27
Mercy Hospital Oklahoma City Oklahoma City, OK $12,735.45 not published
CHI Health Plainview Plainview, NE $12,789.79 $2,537.66 – $5,633.60
CHI Health Schuyler Schuyler, NE $12,942.05 $891.10 – $4,710.06
Sunnyside Medical Center CLACKAMAS, OR $13,017.58 not published
Westside Medical Center HILLSBORO, OR $13,017.58 not published
Mercy Medical Center Merced Merced, CA $13,193.27 $11.87 – $4,609.92
UPMC Altoona Altoona, PA $14,389.80 $22.06 – $5,552.80
Mercy General Hospital Sacramento, CA $14,626.71 $11.87 – $7,142.25
St. Michael Medical Center Silverdale, WA $14,800.40 $98.69 – $14,209.64
Northwestern Medicine Palos Hospital Palos Heights, IL $15,122.55 not published
Ascension St. Vincent Evansville (St. Mary's Health, Inc.) IN 47750|10388 Warrick Wellness Trail Newburgh, IN $15,214.80 $14.33 – $108.92
MaineHealth - Memorial Hospital North Conway, NH $15,495.00 $48.58 – $2,425.48
Parkview DeKalb Hospital Auburn, IN $16,014.00 $108.47 – $197.50
Parkview Huntington Hospital Huntington, IN $16,014.00 $108.47 – $197.50
Parkview Noble Hospital Kendallville, IN $16,014.00 $108.47 – $197.50
Parkview Bryan Hospital Bryan, OH $16,014.15 not published
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne, IN $16,014.15 $107.52 – $197.50
Parkview LaGrange Hospital Lagrange, IN $16,014.15 $108.47 – $209.78
Parkview Montpelier Hospital Montpelier, OH $16,014.15 not published
Parkview Logansport Hospital Logansport, IN $16,014.15 not published
Parkview Wabash Hospital Wabash, IN $16,014.15 $108.47 – $209.78
Parkview Ortho Hospital Fort Wayne, IN $16,014.15 $107.52 – $197.50
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City, IN $16,014.15 $108.47 – $197.50
Glendale Memorial Hospital Health Center Glendale, CA $16,433.66 $11.87 – $10,330.65
Providence Valdez Medical Center Valdez, AK $16,467.61 not published
St. Bernardine Medical Center San Bernardino, CA $16,786.53 $11.87 – $8,556.70
Sequoia Hospital Redwood City, CA $17,205.92 $11.87 – $8,903.44
Providence St Joseph Hospital Eureka Eureka, CA $18,174.56 $21.49 – $107.52
Redwood Memorial Hospital Fortuna, CA $18,174.56 $21.55 – $107.52
Woodland Memorial Hospital Woodland, CA $18,384.03 $11.87 – $8,025.00
Mercy San Juan Medical Center Carmichael, CA $18,384.03 $11.87 – $6,821.25
WellSpan Surgery & Rehabilitation Hospital York PA 17403, PA $18,762.68 $51.00 – $174.27
Inova Alexandria Hospital Alexandria, VA $19,031.17 $71.22 – $356.16
Inova Fairfax Hospital Falls Church, VA $19,031.17 $71.22 – $356.16
Inova Fair Oaks Hospital VA 22033-1709, VA $19,031.17 $71.22 – $356.16
Inova Loudoun Hospital Leesburg, VA $19,031.17 $71.22 – $356.16
Inova Mount Vernon Hospital Alexandria, VA $19,031.17 $71.22 – $356.16
St Patrick Hospital - Broadway Campus Missoula, MT $19,165.79 $74.07 – $165.95
Methodist Hospital of Sacramento Sacramento, CA $19,323.36 $11.87 – $7,222.50
Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) Kokomo, IN $19,358.40 $14.33 – $108.92
Community Hospital San Bernardino San Bernardino, CA $19,710.31 $11.87 – $10,435.00
Sierra Nevada Memorial Hospital Grass Valley, CA $19,815.11 $11.87 – $7,375.48
MultiCare Auburn Medical Center Auburn, WA $19,913.20 $141.62 – $597.36
MultiCare Capital Medical Center Olympia, WA $19,913.20 $141.22 – $643.84
MultiCare Covington Medical Center Covington, WA $19,913.20 $141.62 – $597.36
MultiCare Good Samaritan Hospital Puyallup, WA $19,913.20 $142.33 – $597.36
MultiCare Mary Bridge Children's Hospital Tacoma, WA $19,913.20 $146.60 – $999.96
MultiCare Valley Hospital Spokane Valley, WA $19,913.20 $139.98 – $565.77
MultiCare Allenmore Hospital Tacoma, WA $19,913.20 $142.33 – $597.36

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