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
MultiCare Deaconess Hospital Spokane, WA $19,913.20 $135.90 – $567.04
Dominican Hospital Santa Cruz, CA $19,987.65 $11.87 – $9,950.00
Healdsburg Hospital Healdsburg, CA $21,381.84 $42.45 – $167.67
St. Mary Medical Center Long Beach, CA $21,676.30 $10.68 – $10,435.00
Providence Cedars-Sinai Tarzana Medical Center Tarzana, CA $21,905.91 $46.40 – $296.10
Providence Holy Cross Medical Center Mission Hills, CA $21,905.91 $53.52 – $296.10
Providence Little Co of Mary Med Center San Pedro San Pedro, CA $21,905.91 $56.86 – $296.10
Providence Little Company of Mary Med Center Torrance Torrance, CA $21,905.91 $54.62 – $296.10
Providence Saint Joseph Medical Center Burbank, CA $21,905.91 $46.49 – $296.10
Providence Saint John's Health Center Santa Monica, CA $21,905.91 $36.35 – $296.10
Kadlec Regional Medical Center Richland, WA $21,905.91 $65.07 – $256.55
UPMC East Monroeville, PA $22,306.80 $22.27 – $7,009.60
French Hospital San Luis Obispo, CA $22,595.28 $11.87 – $10,588.90
Southampton Medical Center Franklin, VA $22,978.22 not published
Bakersfield Memorial Hospital Bakersfield, CA $23,504.52 $11.87 – $11,644.85
Mercy Hospitals – Bakersfield Bakersfield, CA $23,760.70 $11.87 – $10,804.50
Arroyo Grande Hospital Santa Maria, CA $24,670.35 $11.87 – $10,588.90
Providence Centralia Hospital Centralia, WA $24,915.53 $144.11 – $319.39
Providence St Peter Hospital Olympia, WA $24,915.53 $92.06 – $467.29
St. John's Camarillo Hospital Camarillo, CA $25,246.76 $17.78 – $4,982.64
Providence St Mary Medical Center Walla Walla, WA $25,259.92 $115.28 – $306.24
Providence St Joseph Hospital Orange Orange, CA $25,586.34 $21.76 – $296.10
Mercy Hospital of Folsom Folsom, CA $26,099.96 $11.87 – $7,704.00
Providence St Joseph Hospital Chewelah, WA $26,517.67 not published
Providence Mount Carmel Hospital Colville, WA $26,517.67 not published
University Hospitals Beachwood Medical Center Beachwood, OH $26,932.05 $117.73 – $7,205.21
University Hospitals Conneaut Medical Center Conneaut, OH $26,932.05 $187.64 – $187.64
University Hospitals Elyria Medical Center Elyria, OH $26,932.05 $104.76 – $211.92
University Hospitals Geneva Medical Center Geneva, OH $26,932.05 $173.56 – $173.56
University Hospitals St. John Medical Center Westlake OH, OH $26,932.05 $90.30 – $228.85
University Hospitals Samaritan Medical Center Ashland, OH $26,932.05 $120.69 – $217.24
University Hospitals Lake West Medical Center Willoughby OH 44094|7590 Auburn Road, OH $26,932.05 $117.73 – $211.92
University Hospitals Parma Medical Center Parma OH 44129|7007 Powers Boulevard, OH $26,932.05 $102.13 – $211.92
University Hospitals Portage Medical Center Ravenna OH 44266, OH $26,932.05 $127.14 – $228.85
University Hospitals Cleveland Medical Center Cleveland OH 44106|3999 Richmond Road, OH $26,932.05 $117.73 – $235.47
University Hospitals Regional Hospitals - Geauga Medical Center Chardon, OH $26,932.05 $117.73 – $211.92
University Hospitals Ahuja Medical Center Beachwood, OH $26,932.05 $117.73 – $7,205.21
Mercy Gilbert Medical Center Gilbert, AZ $27,295.92 $53.71 – $16,012.15
Providence Holy Family Hospital Spokane, WA $27,640.22 $53.86 – $256.55
Providence Sacred Heart Medical Center and Children's Hospital Spokane, WA $27,640.22 $53.86 – $256.55
Providence Kodiak Island Medical Center Kodiak, AK $28,029.98 not published
UPMC Williamsport Williamsport, PA $28,128.00 $51.00 – $56.10
Covenant Medical Center Lubbock, TX $28,551.05 $125.01 – $188.16
Covenant Hospital Plainview Plainview, TX $28,551.05 $121.26 – $131.89
Covenant Children's Hospital Lubbock, TX $28,551.05 $150.42 – $188.21
Covenant Hospital Levelland Levelland, TX $28,551.05 $121.26 – $131.89
Covenant Health Hobbs Hospital Hobbs, NM $28,551.05 not published
Covenant Specialty Hospital Lubbock, TX $28,551.05 not published
Swedish Medical Center Cherry Hill Seattle, WA $28,748.70 $53.86 – $266.60
Swedish Medical Center - First Hill Campus Seattle, WA $28,748.70 $53.86 – $266.60

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