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 |
|---|---|---|---|
| 39-3714515 BMH Oktibbeha County | STARKVILLE, MS | $91.52 | $14.00 – $14.00 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $97.60 | $46.29 – $58.50 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $97.60 | $46.29 – $58.50 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $97.60 | $31.72 – $58.50 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $97.60 | $46.29 – $58.50 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $97.60 | $43.87 – $58.50 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $97.60 | $43.87 – $58.50 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $97.60 | $46.29 – $58.50 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $97.60 | $46.29 – $58.50 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $97.60 | $46.29 – $58.50 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | $98.70 | $40.78 – $108.18 |
| Ascension Saint Thomas River Park | McMinnville, TN | $108.21 | $10.49 – $74.61 |
| St. Luke's Health Memorial Lufkin | Lufkin, TX | $115.44 | $20.61 – $132.47 |
| St. Luke's Health Memorial Livingston | Livingston, TX | $115.44 | $20.61 – $132.47 |
| St. Luke's Health Memorial San Augustine | San Augustine, TX | $115.44 | $20.61 – $132.47 |
| Braxton County Memorial Hospital | Gassaway, WV | $119.50 | $74.25 – $74.25 |
| Barnesville Hospital | Barnesville, OH | $119.50 | $74.25 – $74.25 |
| Jackson General Hospital | Ripley, WV | $119.50 | $74.25 – $74.25 |
| Jefferson Medical Center | Ranson, WV | $119.50 | $74.25 – $74.25 |
| Potomac Valley Hospital | Keyser, WV | $119.50 | $74.25 – $74.25 |
| St. Joseph's Hospital | Buckhannon, WV | $119.50 | $74.25 – $74.25 |
| Summersville Regional Medical Center | Summersville, WV | $119.50 | $74.25 – $74.25 |
| Bellevue Hospital Center | NY 10016, NY | $127.14 | $21.56 – $310.68 |
| Kings County Hospital Center | Brooklyn, NY | $127.14 | $21.56 – $310.68 |
| Woodhull Medical Center | Brooklyn, NY | $127.14 | $21.56 – $310.68 |
| Queens Hospital Center | Jamaica, NY | $127.14 | $21.56 – $310.68 |
| Sanford USD Medical Center | Sioux Falls, SD | $130.40 | $1.00 – $146.70 |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $133.27 | not published |
| Emory Decatur Hospital | Decatur, GA | $133.27 | not published |
| Emory Hillandale Hospital | Lithonia, GA | $133.27 | not published |
| Emory Johns Creek Hospital | Johns Creek, GA | $133.27 | not published |
| Emory Rehabilitation Hospital | Atlanta, GA | $133.27 | not published |
| Emory Saint Joseph's Hospital | Atlanta, GA | $133.27 | not published |
| Emory University Hospital | Ne, GA | $133.27 | not published |
| Emory University Hospital Midtown | Atlanta, GA | $133.27 | not published |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $139.10 | $23.13 – $334.63 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $139.10 | $115.47 – $359.82 |
| avon hospital | Avon, OH | $139.10 | $60.52 – $192.60 |
| euclid hospital | Euclid, OH | $139.10 | $60.52 – $192.60 |
| fairview hospital | Cleveland, OH | $139.10 | $47.29 – $192.60 |
| lutheran hospital | Cleveland, OH | $139.10 | $60.52 – $192.60 |
| hillcrest hospital | Mayfield Heights, OH | $139.10 | $47.29 – $192.60 |
| martin north hospital | Stuart, FL | $139.10 | $60.56 – $198.19 |
| marymount hospital | Garfield Heights, OH | $139.10 | $60.52 – $192.60 |
| medina hospital | Medina, OH | $139.10 | $60.52 – $192.60 |
| mercy hospital | Canton, OH | $139.10 | $60.52 – $192.60 |
| south pointe hospital | Warrensville Heights, OH | $139.10 | $60.52 – $192.60 |
| Berkeley Medical Center | Martinsburg, WV | $143.50 | $74.25 – $221.41 |
| Princeton Community Hospital | Princeton, WV | $143.50 | $126.52 – $736.93 |
| Reynolds Memorial Hospital | Glen Dale, WV | $143.50 | $74.25 – $221.41 |