Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost in Virginia
GRAFT SFT TISS THERASKIN LG 5.1X7.6CM MESHED 39 SQ CM-Q4121-COST PER SQ CM · HCPCS Q4121
$194.00
lowest in Virginia
$194.00
state median
$194.00
highest in Virginia
$208.78
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| RESTON HOSPITAL CENTER | VIENNA | $194.00 | $50.24 – $336.92 | 4 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | not published | $44.02 – $336.92 | 5 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $44.02 – $336.92 | 5 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $38.84 – $336.92 | 4 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | not published | $50.24 – $336.92 | 3 |
| LEWISGALE MEDICAL CENTER | ROANOKE | not published | $44.02 – $381.42 | 4 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $38.84 – $336.92 | 4 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $44.02 – $336.92 | 4 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $44.02 – $336.92 | 4 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $44.02 – $336.92 | 5 |