Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost in Georgia
GRAFT SFT TISS THERASKIN LG 5.1X7.6CM MESHED 39 SQ CM-Q4121-COST PER SQ CM · HCPCS Q4121
$150.96
lowest in Georgia
$208.78
state median
$1,401.29
highest in Georgia
$208.78
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| CHI Memorial Hospital - Georgia | Ringgold | $150.96 | $41.85 – $75.33 | 10 |
| Wellstar Cobb Hospital | Austell | $208.78 | $92.35 – $233.84 | 6 |
| Wellstar Douglas Hospital | Douglasville | $208.78 | $92.35 – $231.74 | 6 |
| Wellstar Kennestone Hospital | Marietta | $208.78 | $92.35 – $233.84 | 6 |
| Wellstar MCG Health | Augusta | $208.78 | $92.35 – $213.74 | 13 |
| Wellstar North Fulton Hospital | Roswell | $208.78 | $92.35 – $233.84 | 6 |
| Wellstar Paulding Hospital | Hiram | $208.78 | $92.35 – $233.84 | 6 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280 | $208.78 | not published | 0 |
| Wellstar Spalding Regional Hospital | Griffin | $208.78 | $92.35 – $244.65 | 8 |
| Wellstar Sylvan Grove Hospital | Jackson | $208.78 | $92.35 – $92.35 | 1 |
| Wellstar West Georgia Medical Center | Lagrange | $208.78 | $92.35 – $240.01 | 8 |
| Wellstar Windy Hill Hospital | Marietta | $208.78 | $92.35 – $92.35 | 1 |
| Adventhealth Redmond | Rome | $1,279.57 | $45.96 – $359.56 | 6 |
| Adventhealth Gordon | Calhoun | $1,401.29 | not published | 0 |