Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm cost at US hospitals
GRAFT SFT TISS THERASKIN LG 5.1X7.6CM MESHED 39 SQ CM-Q4121-COST PER SQ CM · HCPCS Q4121
$27.84
lowest cash price
$349.41
national median
$4,659.72
highest cash price
334
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $27.84–$4,659.72 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($1,295.00) → Sep 1, 2026 ($767.42)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| Arkansas | 2 | $41.60 | $41.60 | $1,550.90 |
| California | 31 | $47.80 | $4,659.72 | $4,659.72 |
| Colorado | 12 | $188.50 | $188.50 | $373.00 |
| Florida | 30 | $139.10 | $232.98 | $2,534.00 |
| Georgia | 22 | $133.27 | $208.78 | $1,401.29 |
| Hawaii | 1 | $734.40 | $734.40 | $734.40 |
| Illinois | 23 | $60.00 | $187.92 | $599.90 |
| Indiana | 13 | $767.42 | $3,060.00 | $3,566.40 |
| Iowa | 27 | $97.60 | $476.79 | $1,482.87 |
| Kansas | 2 | $66.40 | $66.40 | $66.40 |
| Kentucky | 22 | $27.84 | $526.26 | $767.42 |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | $1,295.00 | $1,295.00 | $1,345.00 |
| Maryland | 2 | $1,879.20 | $1,879.20 | $1,879.20 |
| Michigan | 24 | $98.70 | $171.12 | $679.62 |
| Minnesota | 11 | $62.72 | $563.47 | $563.47 |
| Mississippi | 1 | $91.52 | $91.52 | $91.52 |
| Missouri | 14 | $900.18 | $900.18 | $900.18 |
| Montana | 2 | not published by hospital | not published by hospital | not published by hospital |
| Nebraska | 12 | $1,271.03 | $1,392.08 | $2,572.32 |
| Nevada | 3 | $2,981.93 | $3,301.95 | $4,160.16 |
| New Hampshire | 1 | $1,295.00 | $1,295.00 | $1,295.00 |
| New Jersey | 21 | $336.78 | $395.14 | $556.86 |
| New Mexico | 2 | not published by hospital | not published by hospital | not published by hospital |
| New York | 17 | $127.14 | $127.14 | $314.46 |
| North Carolina | 13 | $50.72 | $50.72 | $50.72 |
| North Dakota | 2 | $57.54 | $57.54 | $73.24 |
| Ohio | 34 | $65.65 | $349.41 | $1,099.48 |
| Oklahoma | 9 | $74.43 | $74.43 | $155.35 |
| Oregon | 7 | $2,899.25 | $2,899.25 | $2,899.25 |
| Pennsylvania | 9 | $46.40 | $1,612.20 | $4,627.90 |
| South Carolina | 9 | $718.00 | $718.00 | $879.00 |
| South Dakota | 1 | $130.40 | $130.40 | $130.40 |
| Tennessee | 21 | $108.21 | $150.96 | $357.21 |
| Texas | 84 | $38.16 | $430.75 | $2,361.19 |
| Virginia | 20 | $50.72 | $202.64 | $202.64 |
| Washington | 23 | $2,987.00 | $2,987.00 | $2,987.00 |
| West Virginia | 17 | $119.50 | $143.50 | $2,782.50 |
| Wisconsin | 27 | $56.00 | $65.00 | $464.97 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Providence Milwaukie Hospital | Milwaukie, OR | not published | $53.74 – $276.65 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $51.68 – $262.18 |
| Covenant Hospital Levelland | Levelland, TX | not published | $121.26 – $131.89 |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $45.95 – $296.10 |
| SSM Health Ripon Community Hospital | Ripon, WI | not published | $56.97 – $131.90 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $51.79 – $140.99 |
| Providence St Joseph Hospital Orange | Orange, CA | not published | $73.78 – $296.10 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $64.22 – $233.39 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | not published | $21.27 – $49.95 |
| Atrium Health University City | Charlotte, NC | not published | $21.27 – $21.70 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | not published | $21.48 – $21.48 |
| indian river hospital | Vero Beach, FL | not published | $129.95 – $142.95 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | not published | $80.13 – $150.80 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | not published | $74.27 – $296.10 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | not published | $111.35 – $176.69 |
| Providence St Joseph Medical Center | Polson, MT | not published | $109.91 – $150.80 |
| Atrium Health Union | Monroe, NC | not published | $21.27 – $21.70 |
| lodi hospital | Lodi, OH | not published | $127.14 – $127.14 |
| Atrium Health Lincoln | Lincolnton, NC | not published | $21.27 – $21.70 |
| Atrium Health Cabarrus | Concord, NC | not published | $21.27 – $21.70 |
| Atrium Health Cleveland | Shelby, NC | not published | $21.27 – $21.70 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | not published | $21.48 – $21.48 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | not published | $72.31 – $216.04 |
| Adventhealth Central Texas | Killeen, TX | not published | $125.01 – $200.02 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $50.24 – $273.35 |
| St Jude Medical Center | Fullerton, CA | not published | $73.78 – $296.10 |
| Providence Saint Joseph Medical Center | Burbank, CA | not published | $103.06 – $296.10 |
| Atrium Health Stanly | Albermarle, NC | not published | $21.27 – $21.70 |
| cleveland clinic florida weston hospital | Weston, FL | not published | $41.52 – $142.95 |
| akron general | Akron, OH | not published | $47.79 – $303.05 |
| Atrium Health Pineville | Charlotte, NC | not published | $21.27 – $21.70 |
| Atrium Health Mercy | Charlotte, NC | not published | $21.27 – $49.95 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $1.00 – $1.00 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $1.02 – $1.02 |
| Covenant Children's Hospital | Lubbock, TX | not published | $170.96 – $182.51 |
| Redwood Memorial Hospital | Fortuna, CA | not published | $97.70 – $97.70 |
| Swedish Issaquah | Issaquah, WA | not published | $51.68 – $267.34 |
| Providence St Joseph Hospital Eureka | Eureka, CA | not published | $97.70 – $111.35 |
| Queen of The Valley Medical Center | Napa, CA | not published | $111.35 – $176.69 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | not published | $93.51 – $216.04 |
| Atrium Health Anson | Wadesboro, NC | not published | $21.27 – $21.70 |
| Covenant Hospital Plainview | Plainview, TX | not published | $121.26 – $131.89 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $103.06 – $296.10 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $103.06 – $296.10 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | not published | $67.12 – $120.88 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $76.38 – $156.46 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $138.67 – $152.54 |
| Providence Holy Cross Medical Center | Mission Hills, CA | not published | $103.06 – $296.10 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $59.04 – $233.39 |
| Palisades Medical Center | North Bergen, NJ | not published | $41.52 – $59.85 |