Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost in Indiana
GRAFT SFT TISS THERASKIN LG 5.1X7.6CM MESHED 39 SQ CM-Q4121-COST PER SQ CM · HCPCS Q4121
$3,060.00
lowest in Indiana
$3,368.40
state median
$3,566.40
highest in Indiana
$349.41
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers | $3,060.00 | $20.63 – $108.92 | 19 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo | $3,368.40 | $20.63 – $108.92 | 19 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson | $3,566.40 | $20.63 – $108.92 | 20 |