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 |
|---|---|---|---|
| Wetzel County Hospital | New Martinsville, WV | $143.50 | $74.25 – $221.41 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $150.96 | $41.85 – $75.33 |
| CHI Memorial Hospital Hixson | Hixson, TN | $150.96 | $25.44 – $65.10 |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $154.42 | not published |
| Mercy Hospital Logan County | Guthrie, OK | $155.35 | $222.50 – $222.50 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $170.10 | $41.87 – $52.75 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $171.12 | $17.20 – $241.80 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $171.12 | $30.10 – $228.16 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $171.12 | $30.10 – $228.16 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $171.12 | $30.10 – $228.16 |
| HSHS St. Joseph's Hospital | HIGHLAND, IL | $187.92 | $120.80 – $261.00 |
| AdventHealth Parker | Parker, CO | $188.50 | $54.72 – $242.86 |
| AdventHealth Littleton | Littleton, CO | $188.50 | $54.72 – $242.86 |
| AdventHealth Avista | Louisville, CO | $188.50 | $54.72 – $245.55 |
| AdventHealth Porter | Denver, CO | $188.50 | $54.72 – $242.86 |
| AdventHealth Castle Rock | Castle Rock, CO | $188.50 | $54.72 – $242.86 |
| Grant Memorial Hospital | Petersburg, WV | $191.20 | $74.25 – $74.25 |
| Henry Ford Providence Novi Hospital | Novi, MI | $196.00 | $18.94 – $62.17 |
| Henry Ford St John Hospital | Detroit, MI | $196.00 | $18.94 – $61.17 |
| Henry Ford River District Hospital | China Township, MI | $196.00 | $18.94 – $61.17 |
| Henry Ford Warren Hospital | Warren, MI | $196.00 | $18.94 – $61.17 |
| Adventhealth Tampa | Tampa, FL | $196.06 | not published |
| Adventhealth Riverview | Riverview, FL | $196.06 | not published |
| Adventhealth North Pinellas | Tarpon Springs, FL | $199.78 | not published |
| Sentara Leigh Hospital | Norfolk, VA | $202.64 | not published |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $202.64 | not published |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $202.64 | not published |
| Sentara Obici Hospital | Suffolk, VA | $202.64 | not published |
| Sentara CarePlex Hospital | Hampton, VA | $202.64 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $202.64 | $63.32 – $127.49 |
| Sentara Norfolk General Hospital | Norfolk, VA | $202.64 | not published |
| Wellstar Cobb Hospital | Austell, GA | $208.78 | $92.35 – $233.84 |
| Wellstar Douglas Hospital | Douglasville, GA | $208.78 | $92.35 – $231.74 |
| Wellstar Kennestone Hospital | Marietta, GA | $208.78 | $92.35 – $233.84 |
| Wellstar MCG Health | Augusta, GA | $208.78 | $92.35 – $213.74 |
| Wellstar North Fulton Hospital | Roswell, GA | $208.78 | $92.35 – $233.84 |
| Wellstar Paulding Hospital | Hiram, GA | $208.78 | $92.35 – $233.84 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $208.78 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $208.78 | $92.35 – $244.65 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $208.78 | $92.35 – $92.35 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $208.78 | $92.35 – $240.01 |
| Wellstar Windy Hill Hospital | Marietta, GA | $208.78 | $92.35 – $92.35 |
| CHI Memorial Hospital Chattanooga | Chattanooga, TN | $215.73 | $19.53 – $65.10 |
| Adventhealth Carrollwood | Tampa, FL | $232.98 | not published |
| Methodist Charlton Medical Center | Dallas, TX | $242.70 | $109.25 – $330.14 |
| Methodist Dallas Medical Center | Dallas, TX | $242.70 | $109.25 – $337.53 |
| Methodist Mansfield Medical Center | Mansfield, TX | $242.70 | $109.25 – $338.09 |
| Methodist Midlothian Medical Center | Midlothian, TX | $242.70 | $125.01 – $337.53 |
| Methodist Richardson Medical Center | Richardson, TX | $242.70 | $109.25 – $337.53 |
| Methodist Celina Medical Center | Celina, TX | $242.70 | $104.68 – $312.53 |