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 |
|---|---|---|---|
| Advocate Condell Medical Center | Libertyville, IL | not published | $97.74 – $122.67 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $76.38 – $156.46 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | not published | $51.68 – $266.60 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | not published | $51.68 – $256.55 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | not published | $93.51 – $216.04 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $157.70 – $295.59 |
| Lincoln Health | Damariscotta, ME | not published | $45.00 – $95.78 |
| Stephens Memorial Hospital | Norway, ME | not published | $45.00 – $95.78 |
| Garrett Regional Medical Center | Oakland, MD | not published | not published |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $51.79 – $327.85 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $50.24 – $295.59 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $51.79 – $51.79 |
| North Central Bronx | Bronx, NY | not published | $52.75 – $310.68 |
| Corewell Health Wayne | Wayne, MI | not published | $57.85 – $167.47 |
| Corewell Health Troy | Troy, MI | not published | $65.55 – $167.40 |
| Corewell Health Trenton | Trenton, MI | not published | $58.07 – $167.47 |
| Corewell Health Taylor | Taylor, MI | not published | $58.40 – $167.47 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $58.13 – $167.47 |
| Corewell Health Zeeland | Zeeland, MI | not published | $50.69 – $223.19 |
| Corewell Health Greenville | Greenville, MI | not published | $50.69 – $223.19 |
| Corewell Health Reed City | Po Box 75, MI | not published | $50.69 – $50.69 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $50.69 – $223.19 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $48.87 – $118.23 |
| Aurora Medical Center Bay Area | Marinette, WI | not published | $48.87 – $118.23 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $121.26 – $198.89 |
| Covenant Medical Center | Lubbock, TX | not published | $125.01 – $198.89 |
| South Brooklyn Health | Brooklyn, NY | not published | $52.75 – $310.68 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $50.24 – $273.35 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $50.69 – $223.19 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | not published | $114.36 – $186.00 |
| Providence Willamette Falls Medical Center | Oregon City, OR | not published | $53.74 – $276.65 |
| Corewell Health Gerber | Fremont, MI | not published | $50.69 – $50.69 |
| Corewell Health Big Rapids | Big Rapids, MI | not published | $50.69 – $223.19 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | not published | $75.10 – $125.35 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | not published | $75.10 – $120.88 |
| CHRISTUS Children's Hospital | San Antonio, TX | not published | $123.63 – $123.63 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $59.04 – $233.39 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $175.98 – $175.98 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $51.79 – $327.85 |
| CHRISTUS St. Vincent Regional Medical Center | Santa Fe, NM | not published | $43.95 – $111.90 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $48.22 – $112.68 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $48.22 – $93.98 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $48.22 – $127.28 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $48.22 – $127.28 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $56.97 – $123.56 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $48.22 – $49.07 |
| Providence St Peter Hospital | Olympia, WA | not published | $95.77 – $467.29 |
| Providence Holy Family Hospital | Spokane, WA | not published | $51.68 – $256.55 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | not published | $93.51 – $216.04 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $40.27 – $97.85 |