Graft puraplyam antimicrob 1.6-q4196-cost per sq cm cost in Nebraska
GRAFT PURAPLYAM ANTIMICROB 1.6-Q4196-COST PER SQ CM · HCPCS Q4196
$1,632.96
lowest in Nebraska
$1,788.48
state median
$3,304.80
highest in Nebraska
$892.38
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $1,632.96 | $18.36 – $91.80 | 13 |
| Lasting Hope Recovery Center | Omaha | $1,632.96 | $18.36 – $102.60 | 12 |
| CHI Health Immanuel | Omaha | $1,632.96 | $15.12 – $91.80 | 13 |
| CHI Health Lakeside | Omaha | $1,632.96 | $17.28 – $91.80 | 13 |
| CHI Health Midlands | Papillion | $1,632.96 | $19.44 – $91.80 | 13 |
| CHI Health Nebraska Heart | Lincoln | $1,788.48 | $105.71 – $3,188.16 | 11 |
| CHI Health St. Elizabeth | Lincoln | $1,944.00 | $43.70 – $152.00 | 11 |
| CHI Health St. Francis | Grand Island | $2,293.92 | $24.84 – $101.52 | 12 |
| CHI Health Good Samaritan | Kearney | $2,371.68 | $22.68 – $100.44 | 12 |
| CHI Health St. Mary's | Nebraska City | $3,227.04 | $832.81 – $3,732.48 | 16 |
| CHI Health Plainview | Plainview | $3,265.92 | $1,054.08 – $2,340.06 | 19 |
| CHI Health Schuyler | Schuyler | $3,304.80 | $370.14 – $1,956.45 | 18 |