Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost in West Virginia
GRAFT SFT TISS THERASKIN LG 5.1X7.6CM MESHED 39 SQ CM-Q4121-COST PER SQ CM · HCPCS Q4121
$119.50
lowest in West Virginia
$143.50
state median
$2,782.50
highest in West Virginia
$373.00
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Braxton County Memorial Hospital | Gassaway | $119.50 | $74.25 – $74.25 | 1 |
| Jackson General Hospital | Ripley | $119.50 | $74.25 – $74.25 | 1 |
| Jefferson Medical Center | Ranson | $119.50 | $74.25 – $74.25 | 1 |
| Potomac Valley Hospital | Keyser | $119.50 | $74.25 – $74.25 | 1 |
| St. Joseph's Hospital | Buckhannon | $119.50 | $74.25 – $74.25 | 1 |
| Summersville Regional Medical Center | Summersville | $119.50 | $74.25 – $74.25 | 1 |
| Berkeley Medical Center | Martinsburg | $143.50 | $74.25 – $221.41 | 19 |
| Princeton Community Hospital | Princeton | $143.50 | $126.52 – $736.93 | 18 |
| Reynolds Memorial Hospital | Glen Dale | $143.50 | $74.25 – $221.41 | 25 |
| Wetzel County Hospital | New Martinsville | $143.50 | $74.25 – $221.41 | 25 |
| Grant Memorial Hospital | Petersburg | $191.20 | $74.25 – $74.25 | 1 |
| Beckley ARH Hospital | Beckley | $526.26 | not published | 0 |
| United Hospital Center | Bridgeport | $1,838.50 | $74.25 – $221.41 | 16 |
| Camden Clark Medical Center | Parkersburg | $1,838.50 | $87.00 – $221.41 | 22 |
| Thomas Hospitals | South Charleston | $1,890.00 | $74.25 – $640.31 | 14 |
| Weirton Medical Center | Weirton | $1,989.00 | $126.52 – $643.91 | 26 |
| West Virginia University Hospitals | Morgantown | $2,782.50 | $64.00 – $536.00 | 31 |