Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm cost in Pennsylvania
GRAFT SFT TISS GRAFIX AMNIO PRIME 3X4CM 12SQCM-Q4133-COST PER SQ CM · HCPCS Q4133
$236.00
lowest in Pennsylvania
$417.60
state median
$3,681.60
highest in Pennsylvania
$1,132.47
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| WellSpan Waynesboro Hospital | Waynesboro | $236.00 | $97.12 – $477.30 | 3 |
| UPMC Cole | Coudersport | $385.20 | $138.74 – $513.60 | 14 |
| UPMC Northwest | Seneca | $394.20 | $87.60 – $221.05 | 2 |
| UPMC Williamsport | Williamsport | $410.40 | $138.74 – $152.61 | 2 |
| UPMC Altoona | Altoona | $410.40 | $85.17 – $547.20 | 12 |
| UPMC Hamot | Erie | $417.60 | $85.17 – $87.60 | 2 |
| UPMC Horizon-Greenville | Greenville | $417.60 | $87.60 – $217.06 | 2 |
| UPMC Jameson | New Castle | $417.60 | $86.67 – $140.13 | 4 |
| UPMC McKeesport | Mckeesport | $417.60 | $85.98 – $154.14 | 4 |
| UPMC Mercy | Pittsburgh | $417.60 | $85.17 – $138.74 | 3 |
| Uniontown Hospital | Uniontown | $587.00 | $126.52 – $294.79 | 20 |
| WellSpan Ephrata Community Hospital | Ephrata | $3,208.87 | $138.74 – $477.30 | 7 |
| WellSpan Chambersburg Hospital | Chambersburg | $3,645.98 | $141.32 – $477.30 | 4 |
| UPMC Passavant-McCandless | Pittsburgh | $3,681.60 | $85.98 – $170.65 | 3 |