Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm cost in Iowa
GRAFT SFT TISS GRAFIX AMNIO PRIME 3X4CM 12SQCM-Q4133-COST PER SQ CM · HCPCS Q4133
$277.60
lowest in Iowa
$414.05
state median
$6,142.80
highest in Iowa
$1,132.47
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Finley Hospital | Dubuque | $277.60 | $136.20 – $331.72 | 8 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $277.60 | $136.37 – $331.72 | 6 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $277.60 | $136.37 – $331.72 | 6 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $277.60 | $136.37 – $331.72 | 6 |
| UnityPoint Health - Marshalltown | Marshalltown | $277.60 | $136.37 – $331.72 | 6 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $277.60 | $63.31 – $141.66 | 8 |
| UnityPoint Health - Trinity Muscatine | Muscatine | $277.60 | $53.73 – $141.66 | 9 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids | $277.60 | $136.37 – $331.72 | 6 |
| UnityPoint Health - Allen Hospital | Waterloo | $277.60 | $136.37 – $331.72 | 6 |
| MercyOne Waterloo Medical Center | Waterloo | $414.05 | $61.18 – $305.89 | 33 |
| MercyOne Dubuque Medical Center | Dubuque | $414.05 | $59.28 – $305.89 | 41 |
| MercyOne Dyersville Medical Center | Dyersville | $414.05 | $115.63 – $344.31 | 40 |
| MercyOne Clinton Medical Center | Clinton | $414.05 | $59.28 – $305.89 | 40 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $414.05 | $53.04 – $305.89 | 32 |
| MercyOne Elkader Medical Center | Elkader | $414.05 | $157.44 – $319.72 | 42 |
| MercyOne Des Moines Medical Center | Des Moines | $414.05 | $49.92 – $305.89 | 36 |
| MercyOne Newton Medical Center | Newton | $414.05 | $61.18 – $305.89 | 37 |
| MercyOne North Iowa Medical Center | Mason City | $414.05 | $61.18 – $305.89 | 39 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $454.47 | $90.22 – $328.35 | 10 |
| MercyOne New Hampton Medical Center | New Hampton | $515.72 | $125.78 – $317.70 | 43 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge | $535.80 | $136.37 – $552.87 | 8 |
| MercyOne Centerville Medical Center | Centerville | $637.00 | $83.94 – $305.89 | 42 |
| Sanford Sheldon Medical Center | Sheldon | $695.20 | $153.90 – $486.00 | 15 |
| MercyOne West Des Moines Medical Center | West Des Moines | $756.96 | $49.92 – $305.89 | 36 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $2,767.80 | not published | 0 |
| CHI Health Mercy Council Bluffs | Council Bluffs | $2,940.00 | $27.27 – $154.53 | 14 |
| CHI Health Mercy Corning | Corning | $3,360.00 | $143.23 – $1,568.49 | 19 |
| CHI Health Missouri Valley | Missouri Valley | $3,430.00 | $143.23 – $1,568.49 | 20 |
| MercyOne Oelwein Medical Center | Oelwein | $3,657.34 | $116.91 – $305.89 | 44 |
| MercyOne Genesis Davenport Medical Center | Davenport | $6,142.80 | not published | 0 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $6,142.80 | $1,179.80 – $2,533.10 | 3 |