Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost in Iowa
GRAFT SFT TISS THERASKIN LG 5.1X7.6CM MESHED 39 SQ CM-Q4121-COST PER SQ CM · HCPCS Q4121
$97.60
lowest in Iowa
$476.79
state median
$1,482.87
highest in Iowa
$427.89
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $97.60 | $46.29 – $58.50 | 6 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $97.60 | $46.29 – $58.50 | 6 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $97.60 | $31.72 – $58.50 | 8 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $97.60 | $46.29 – $58.50 | 6 |
| UnityPoint Health - Trinity Muscatine | Muscatine | $97.60 | $43.87 – $58.50 | 7 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge | $97.60 | $46.29 – $58.50 | 6 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids | $97.60 | $46.29 – $58.50 | 6 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $97.60 | $46.29 – $58.50 | 6 |
| UnityPoint Health - Allen Hospital | Waterloo | $366.92 | $26.18 – $51.79 | 8 |
| UnityPoint Health - Marshalltown | Marshalltown | $366.92 | $24.70 – $56.31 | 8 |
| MercyOne Waterloo Medical Center | Waterloo | $476.79 | $16.28 – $81.42 | 33 |
| MercyOne Dubuque Medical Center | Dubuque | $476.79 | $15.78 – $81.42 | 41 |
| MercyOne Dyersville Medical Center | Dyersville | $476.79 | $30.78 – $91.65 | 40 |
| MercyOne Clinton Medical Center | Clinton | $476.79 | $15.78 – $81.42 | 40 |
| MercyOne Oelwein Medical Center | Oelwein | $476.79 | $31.12 – $81.42 | 44 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $476.79 | $14.12 – $81.42 | 32 |
| MercyOne Elkader Medical Center | Elkader | $476.79 | $41.91 – $85.10 | 42 |
| MercyOne Des Moines Medical Center | Des Moines | $476.79 | $13.29 – $81.42 | 36 |
| MercyOne Newton Medical Center | Newton | $476.79 | $16.28 – $81.42 | 37 |
| MercyOne North Iowa Medical Center | Mason City | $476.79 | $16.28 – $81.42 | 39 |
| MercyOne New Hampton Medical Center | New Hampton | $593.87 | $38.26 – $96.64 | 43 |
| UnityPoint Health - Finley Hospital | Dubuque | $685.56 | $21.75 – $51.79 | 12 |
| MercyOne West Des Moines Medical Center | West Des Moines | $733.52 | $13.29 – $81.42 | 36 |
| MercyOne Centerville Medical Center | Centerville | $733.52 | $22.34 – $81.42 | 42 |
| CHI Health Mercy Council Bluffs | Council Bluffs | $1,271.03 | $39.30 – $2,572.32 | 14 |
| CHI Health Mercy Corning | Corning | $1,452.60 | $46.13 – $2,965.73 | 19 |
| CHI Health Missouri Valley | Missouri Valley | $1,482.87 | $46.13 – $2,965.73 | 20 |