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
$46.40
lowest in Pennsylvania
$1,612.20
state median
$4,627.90
highest in Pennsylvania
$349.41
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| WellSpan Chambersburg Hospital | Chambersburg | $46.40 | $41.76 – $181.27 | 4 |
| WellSpan Ephrata Community Hospital | Ephrata | $69.60 | $50.69 – $181.27 | 7 |
| UPMC Horizon-Greenville | Greenville | $243.00 | $33.31 – $43.49 | 2 |
| UPMC Bedford | Everett | $243.00 | $33.31 – $364.50 | 17 |
| UPMC Jameson | New Castle | $1,612.20 | $17.36 – $53.28 | 4 |
| Uniontown Hospital | Uniontown | $1,909.30 | $98.00 – $294.79 | 20 |
| UPMC Muncy | Muncy | $2,568.60 | $58.03 – $58.03 | 1 |
| UPMC Altoona | Altoona | $3,468.00 | $17.06 – $315.20 | 12 |
| WellSpan Gettysburg Hospital | Gettysburg | $4,627.90 | $50.69 – $181.27 | 7 |