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 Regional Medical Center Everett - Colby Campus | Everett, WA | not published | $51.68 – $262.18 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $50.24 – $273.35 |
| Providence St Vincent Medical Center | Portland, OR | not published | $53.74 – $276.65 |
| Jacobi Medical Center | Bronx, NY | not published | $52.75 – $310.68 |
| Providence Centralia Hospital | Centralia, WA | not published | $134.32 – $332.24 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $52.75 – $310.68 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | not published | $35.73 – $224.36 |
| Providence Portland Medical Center | Portland, OR | not published | $53.74 – $276.65 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | $41.52 – $58.61 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | not published | $56.97 – $131.90 |
| Providence Newberg Medical Center | Newberg, OR | not published | $53.74 – $253.13 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | not published | $56.97 – $237.56 |
| Riverview Medical Center | Red Bank, NJ | not published | $41.52 – $58.61 |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | $41.52 – $58.61 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $41.52 – $59.85 |
| Raritan Bay Medical Center | Perth Amboy, NJ | not published | $41.52 – $59.85 |
| Corewell Health Pennock | Hastings, MI | not published | $50.69 – $50.69 |
| Ocean University Medical Center | Brick, NJ | not published | $41.52 – $58.61 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | not published | $103.06 – $296.10 |
| Hackensack University Medical Center | Hackensack, NJ | not published | $59.85 – $59.85 |
| Bayshore Medical Center | Holmdel, NJ | not published | $41.52 – $41.52 |
| Advocate Trinity Hospital | Chicago, IL | not published | $76.38 – $156.46 |
| Harlem Hospital Center | New York, NY | not published | $52.75 – $310.68 |
| Waldo County General Hospital | Belfast, ME | not published | $45.00 – $95.78 |
| Spring Harbor Hospital | Westbrook, ME | not published | $45.00 – $88.62 |
| Pen Bay Medical Center | Rockport, ME | not published | $45.00 – $95.78 |
| Metropolitan Hospital Center | New York, NY | not published | $52.75 – $310.68 |
| Lincoln Medical Center | Bronx, NY | not published | $52.75 – $310.68 |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $76.38 – $156.46 |
| Advocate Sherman Hospital | Elgin, IL | not published | $97.74 – $108.78 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $76.38 – $156.46 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $76.38 – $156.46 |
| Swedish Medical Center Cherry Hill | Seattle, WA | not published | $51.68 – $266.60 |
| Petaluma Valley Hospital | Petaluma, CA | not published | $111.35 – $171.13 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | not published | $47.34 – $149.57 |
| Providence Alaska Medical Center | Anchorage, AK | not published | $356.88 – $356.88 |