Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost in California
GRAFT SFT TISS THERASKIN LG 5.1X7.6CM MESHED 39 SQ CM-Q4121-COST PER SQ CM · HCPCS Q4121
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Providence Saint John's Health Center | Santa Monica | not published | $45.95 – $296.10 | 9 |
| Providence St Joseph Hospital Orange | Orange | not published | $73.78 – $296.10 | 6 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $74.27 – $296.10 | 6 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $111.35 – $176.69 | 3 |
| St Jude Medical Center | Fullerton | not published | $73.78 – $296.10 | 6 |
| Providence Saint Joseph Medical Center | Burbank | not published | $103.06 – $296.10 | 8 |
| Redwood Memorial Hospital | Fortuna | not published | $97.70 – $97.70 | 1 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $97.70 – $111.35 | 2 |
| Queen of The Valley Medical Center | Napa | not published | $111.35 – $176.69 | 2 |
| Providence Little Company of Mary Med Center Torrance | Torrance | not published | $103.06 – $296.10 | 8 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | not published | $103.06 – $296.10 | 8 |
| Providence Holy Cross Medical Center | Mission Hills | not published | $103.06 – $296.10 | 8 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $103.06 – $296.10 | 8 |
| Petaluma Valley Hospital | Petaluma | not published | $111.35 – $171.13 | 3 |