Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm cost in Indiana
GRAFT SFT TISS GRAFIX AMNIO PRIME 3X4CM 12SQCM-Q4133-COST PER SQ CM · HCPCS Q4133
$3,840.60
lowest in Indiana
$5,781.00
state median
$6,057.00
highest in Indiana
$1,904.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo | $3,840.60 | $37.56 – $142.43 | 20 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel | $5,781.00 | $37.56 – $142.43 | 20 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel | $5,781.00 | $37.56 – $239.03 | 21 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis | $5,781.00 | $37.56 – $239.03 | 21 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson | $6,057.00 | $37.56 – $142.43 | 20 |