healthcosts.net

Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost at US hospitals

GRAFT SFT TISS THERASKIN LG 5.1X7.6CM MESHED 39 SQ CM-Q4121-COST PER SQ CM · HCPCS Q4121

$27.84

lowest cash price

$349.41

national median

$4,659.72

highest cash price

334

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $27.84–$4,659.72 — the variation is the story.

Cheapest published cash price

$27.84

CHI Saint Joseph Health - Saint Joseph London — London, KY

Most expensive published cash price

$4,659.72

Moreno Valley Medical Center — MORENO VALLEY, CA

Median cash price over time

Sep 1, 2025 ($1,295.00) → Sep 1, 2026 ($767.42)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 not published by hospital not published by hospital not published by hospital
Arkansas 2 $41.60 $41.60 $1,550.90
California 31 $47.80 $4,659.72 $4,659.72
Colorado 12 $188.50 $188.50 $373.00
Florida 30 $139.10 $232.98 $2,534.00
Georgia 22 $133.27 $208.78 $1,401.29
Hawaii 1 $734.40 $734.40 $734.40
Illinois 23 $60.00 $187.92 $599.90
Indiana 13 $767.42 $3,060.00 $3,566.40
Iowa 27 $97.60 $476.79 $1,482.87
Kansas 2 $66.40 $66.40 $66.40
Kentucky 22 $27.84 $526.26 $767.42
Louisiana 6 not published by hospital not published by hospital not published by hospital
Maine 7 $1,295.00 $1,295.00 $1,345.00
Maryland 2 $1,879.20 $1,879.20 $1,879.20
Michigan 24 $98.70 $171.12 $679.62
Minnesota 11 $62.72 $563.47 $563.47
Mississippi 1 $91.52 $91.52 $91.52
Missouri 14 $900.18 $900.18 $900.18
Montana 2 not published by hospital not published by hospital not published by hospital
Nebraska 12 $1,271.03 $1,392.08 $2,572.32
Nevada 3 $2,981.93 $3,301.95 $4,160.16
New Hampshire 1 $1,295.00 $1,295.00 $1,295.00
New Jersey 21 $336.78 $395.14 $556.86
New Mexico 2 not published by hospital not published by hospital not published by hospital
New York 17 $127.14 $127.14 $314.46
North Carolina 13 $50.72 $50.72 $50.72
North Dakota 2 $57.54 $57.54 $73.24
Ohio 34 $65.65 $349.41 $1,099.48
Oklahoma 9 $74.43 $74.43 $155.35
Oregon 7 $2,899.25 $2,899.25 $2,899.25
Pennsylvania 9 $46.40 $1,612.20 $4,627.90
South Carolina 9 $718.00 $718.00 $879.00
South Dakota 1 $130.40 $130.40 $130.40
Tennessee 21 $108.21 $150.96 $357.21
Texas 84 $38.16 $430.75 $2,361.19
Virginia 20 $50.72 $202.64 $202.64
Washington 23 $2,987.00 $2,987.00 $2,987.00
West Virginia 17 $119.50 $143.50 $2,782.50
Wisconsin 27 $56.00 $65.00 $464.97

All hospitals

Hospital Location Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph London London, KY $27.84 $9.29 – $59.15
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling, KY $28.59 $13.61 – $59.15
CHI Saint Joseph Health - Saint Joseph East Lexington, KY $31.34 $15.89 – $59.15
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown, KY $33.10 $11.47 – $59.15
CHI Saint Joseph Health - Saint Joseph Hospital Lexington, KY $36.75 $15.27 – $59.15
CHI Saint Joseph Health - Saint Joseph Berea Berea, KY $37.61 $17.94 – $59.15
Ascension Seton Medical Center Austin (Ascension Seton) Austin, TX $38.16 $36.00 – $45.76
Ascension Seton Northwest (Ascension Seton) Austin, TX $38.16 $36.00 – $45.76
Mercy Hospital Waldron Waldron, AR $41.60 $23.13 – $52.51
Ascension Seton Cedar Park Hospital Cedar Park, TX $42.54 $36.00 – $45.76
WellSpan Chambersburg Hospital Chambersburg, PA $46.40 $41.76 – $181.27
UKIAH ADVENTIST HOSPITAL Ukiah, CA $47.80 $60.19 – $346.14
Sentara Albemarle Regional Medical Center Elizabeth City, NC $50.72 not published
Sentara Halifax Regional Hospital South Boston, VA $50.72 not published
UnityPoint Health - Meriter Hospital Madison, WI $56.00 $16.10 – $59.50
Sanford Medical Center Bismarck Bismarck, ND $57.54 $22.81 – $64.73
HSHS St. Mary's Hospital Medical Center GREEN BAY, WI $58.08 $78.69 – $273.42
HSHS St. Nicholas Hospital SHEBOYGAN, WI $58.08 $78.69 – $273.83
HSHS St. Vincent Hospital Green Bay, WI $58.08 $88.00 – $271.97
HSHS St. Clare Memorial Hospital OCONTO FALLS, WI $58.08 $127.14 – $127.14
St. Luke's Health - The Vintage Hospital Houston, TX $59.15 $37.18 – $169.00
Baylor St Luke's Medical Center Houston, TX $59.15 $37.18 – $169.00
St. Luke's Health - Sugar Land Hospital Sugar Land, TX $59.15 $37.18 – $169.00
St. Luke's Health - Springwoods Village Hospital Spring, TX $59.15 $37.18 – $169.00
St. Luke's Health - Lakeside Hospital The Woodlands, TX $59.15 $37.18 – $169.00
OSF Little Company of Mary Medical Center Evergreen Park, IL $60.00 not published
New Ulm Medical Center MN 56073, MN $62.72 $35.02 – $134.28
HCA HOUSTON CLEAR LAKE FRIENDSWOOD, TX $64.26 $89.59 – $209.78
Aurora Baycare Medical Center Green Bay, WI $65.00 $48.87 – $118.23
Aurora Medical Center Burlington Burlington, WI $65.00 $48.87 – $118.23
Aurora Medical Center Grafton Grafton, WI $65.00 $48.87 – $118.23
Aurora Medical Center Manitowoc Two Rivers, WI $65.00 $48.87 – $118.23
Aurora Medical Center Kenosha Kenosha, WI $65.00 $48.87 – $118.23
Aurora Medical Center Sheboygan County Sheboygan, WI $65.00 $48.87 – $118.23
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee, WI $65.00 $48.87 – $118.23
Aurora Medical Center Summit Summit, WI $65.00 $48.87 – $118.23
Aurora Medical Center Washington County Hartford, WI $65.00 $48.87 – $118.23
Aurora West Allis Medical Center West Allis, WI $65.00 $48.87 – $118.23
cleveland clinic main campus Cleveland, OH $65.65 $1.10 – $128.45
MENORAH MEDICAL CENTER Overland Park, KS $66.40 $209.78 – $209.78
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee, WI $68.90 $50.95 – $103.57
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon, WI $68.90 $50.95 – $103.57
WellSpan Ephrata Community Hospital Ephrata, PA $69.60 $50.69 – $181.27
Sanford Fargo Medical Center Fargo, ND $73.24 $1.00 – $27.70
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK $74.43 $36.65 – $39.27
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK $74.43 $31.94 – $31.94
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK $74.43 $31.94 – $39.27
Sentara Martha Jefferson Hospital Charlottesville, VA $77.62 not published
Sentara RMH Medical Center Harrisonburg, VA $77.62 not published
OSF Saint Clare Medical Center Princeton, IL $80.00 not published

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