Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost in Pennsylvania
GRAFT SFT TISS THERASKIN LG 5.1X7.6CM MESHED 39 SQ CM-Q4121-COST PER SQ CM · HCPCS Q4121
$2,568.60
lowest in Pennsylvania
$6,241.80
state median
$11,093.40
highest in Pennsylvania
$6,241.80
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Muncy | Muncy | $2,568.60 | $58.03 – $3,852.90 | 15 |
| UPMC Northwest | Seneca | $5,533.20 | $33.31 – $344.25 | 12 |
| UPMC Williamsport | Williamsport | $6,183.00 | $52.75 – $9,274.50 | 14 |
| UPMC Mercy | Pittsburgh | $6,241.80 | $17.06 – $364.50 | 15 |
| UPMC St. Margaret | Pittsburgh | $6,241.80 | $17.23 – $2,876.40 | 11 |
| UPMC Wellsboro | Wellsboro | $7,673.60 | $52.75 – $2,504.70 | 13 |
| UPMC Passavant-McCandless | Pittsburgh | $7,849.80 | $17.23 – $344.25 | 13 |
| UPMC Presbyterian | Pittsburgh | $11,093.40 | $17.23 – $306.00 | 17 |