Graft puraplyam antimicrob 1.6-q4196-cost per sq cm cost in Iowa
GRAFT PURAPLYAM ANTIMICROB 1.6-Q4196-COST PER SQ CM · HCPCS Q4196
$104.00
lowest in Iowa
$397.96
state median
$11,542.80
highest in Iowa
$892.38
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $104.00 | $102.78 – $134.90 | 5 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $104.00 | $102.78 – $134.90 | 5 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $104.00 | $33.80 – $134.90 | 7 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids | $104.00 | $102.78 – $134.90 | 5 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $285.14 | $102.78 – $259.45 | 13 |
| UnityPoint Health - Finley Hospital | Dubuque | $307.33 | $99.05 – $307.33 | 12 |
| MercyOne Dubuque Medical Center | Dubuque | $397.50 | $46.26 – $238.70 | 41 |
| MercyOne Dyersville Medical Center | Dyersville | $397.50 | $90.23 – $268.68 | 40 |
| MercyOne Clinton Medical Center | Clinton | $397.50 | $46.26 – $238.70 | 40 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $397.50 | $41.39 – $238.70 | 32 |
| MercyOne Elkader Medical Center | Elkader | $397.50 | $122.86 – $249.49 | 42 |
| MercyOne North Iowa Medical Center | Mason City | $397.50 | $47.74 – $238.70 | 39 |
| MercyOne Oelwein Medical Center | Oelwein | $397.96 | $91.23 – $238.70 | 44 |
| MercyOne Des Moines Medical Center | Des Moines | $397.96 | $38.96 – $238.70 | 36 |
| MercyOne Newton Medical Center | Newton | $397.96 | $47.74 – $238.70 | 37 |
| MercyOne Waterloo Medical Center | Waterloo | $410.96 | $47.74 – $238.70 | 33 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge | $464.36 | $102.78 – $493.38 | 8 |
| MercyOne New Hampton Medical Center | New Hampton | $495.11 | $98.15 – $247.91 | 43 |
| MercyOne Centerville Medical Center | Centerville | $611.54 | $65.50 – $238.70 | 42 |
| MercyOne West Des Moines Medical Center | West Des Moines | $612.24 | $38.96 – $238.70 | 36 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $629.84 | $102.04 – $187.89 | 8 |
| UnityPoint Health - Trinity Muscatine | Muscatine | $629.84 | $86.60 – $187.51 | 9 |
| UnityPoint Health - Allen Hospital | Waterloo | $649.16 | $102.78 – $204.52 | 8 |
| UnityPoint Health - Marshalltown | Marshalltown | $649.16 | $102.78 – $287.18 | 8 |
| CHI Health Mercy Council Bluffs | Council Bluffs | $1,632.96 | $16.20 – $104.16 | 14 |
| CHI Health Mercy Corning | Corning | $1,866.24 | $104.16 – $1,693.44 | 19 |
| CHI Health Missouri Valley | Missouri Valley | $1,905.12 | $104.16 – $1,693.44 | 20 |
| MercyOne Genesis Davenport Medical Center | Davenport | $11,542.80 | not published | 0 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $11,542.80 | $573.92 – $1,232.24 | 3 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $11,542.80 | not published | 0 |