Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm cost in Virginia
GRAFT SFT TISS GRAFIX AMNIO PRIME 3X4CM 12SQCM-Q4133-COST PER SQ CM · HCPCS Q4133
$742.50
lowest in Virginia
$742.50
state median
$742.50
highest in Virginia
$765.06
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $742.50 | $193.72 – $482.04 | 4 |
| Inova Fairfax Hospital | Falls Church | $742.50 | $193.72 – $482.04 | 4 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $742.50 | $193.72 – $482.04 | 4 |
| Inova Loudoun Hospital | Leesburg | $742.50 | $193.72 – $482.04 | 4 |
| Inova Mount Vernon Hospital | Alexandria | $742.50 | $193.72 – $482.04 | 4 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | not published | $115.91 – $336.92 | 5 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $115.91 – $336.92 | 5 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $102.28 – $336.92 | 4 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | not published | $132.28 – $336.92 | 3 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $132.28 – $336.92 | 4 |
| LEWISGALE MEDICAL CENTER | ROANOKE | not published | $115.91 – $381.42 | 4 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $102.28 – $336.92 | 4 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $115.91 – $336.92 | 4 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $115.91 – $336.92 | 4 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $115.91 – $336.92 | 5 |