Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost in Maine
GRAFT SFT TISS THERASKIN LG 5.1X7.6CM MESHED 39 SQ CM-Q4121-COST PER SQ CM · HCPCS Q4121
$1,295.00
lowest in Maine
$1,295.00
state median
$1,345.00
highest in Maine
$349.41
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Franklin Memorial Hospital | Farmington | $1,295.00 | $45.00 – $1,217.30 | 8 |
| Mid Coast Hospital | Brunswick | $1,345.00 | $45.00 – $1,062.00 | 6 |
| Lincoln Health | Damariscotta | not published | $45.00 – $95.78 | 5 |
| Stephens Memorial Hospital | Norway | not published | $45.00 – $95.78 | 8 |
| Waldo County General Hospital | Belfast | not published | $45.00 – $95.78 | 8 |
| Spring Harbor Hospital | Westbrook | not published | $45.00 – $88.62 | 4 |
| Pen Bay Medical Center | Rockport | not published | $45.00 – $95.78 | 4 |