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 |
|---|---|---|---|
| Methodist Southlake Medical Center | Souhtlake, TX | $242.70 | $109.25 – $338.09 |
| UPMC Horizon-Greenville | Greenville, PA | $243.00 | $33.31 – $43.49 |
| UPMC Bedford | Everett, PA | $243.00 | $33.31 – $364.50 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago, IL | $245.67 | $96.90 – $96.90 |
| Massena Hospital | Massena, NY | $314.46 | not published |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | $336.78 | $47.70 – $55.20 |
| Mansfield Hospital | Mansfield, OH | $349.41 | $83.05 – $123.58 |
| O'Bleness Hospital | Athens, OH | $349.41 | $82.37 – $118.83 |
| Van Wert Hospital | Van Wert, OH | $349.41 | $83.05 – $130.34 |
| Riverside Methodist Hospital | Columbus, OH | $349.41 | $82.37 – $131.30 |
| Grady Memorial Hospital | Delaware, OH | $349.41 | $82.37 – $124.79 |
| Dublin Methodist Hospital | Dublin, OH | $349.41 | $82.37 – $131.30 |
| Shelby Hospital | Shelby, OH | $349.41 | $83.05 – $83.05 |
| Berger Hospital | Circleville, OH | $349.41 | $82.37 – $119.99 |
| Grant Medical Center | Columbus, OH | $349.41 | $82.37 – $131.30 |
| Southeastern Medical Center | Cambridge, OH | $349.41 | $82.37 – $122.44 |
| Hardin Memorial Hospital | Kenton, OH | $349.41 | $82.37 – $82.37 |
| Doctors Hospital | Columbus, OH | $349.41 | $82.37 – $131.30 |
| Marion General Hospital | Marion, OH | $349.41 | $82.37 – $123.58 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $357.21 | $56.47 – $93.42 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $366.92 | $26.18 – $51.79 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $366.92 | $24.70 – $56.31 |
| Clara Maass Medical Center | Belleville, NJ | $370.90 | $47.70 – $59.59 |
| HCA HealthONE AURORA | Aurora, CO | $373.00 | $209.78 – $381.42 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $378.43 | not published |
| Community Medical Center | Toms River, NJ | $386.75 | $47.70 – $58.14 |
| Jersey City Medical Center | Jersey City, NJ | $387.50 | $43.15 – $58.14 |
| Newark Beth Israel Medical Center | Newark, NJ | $388.43 | $47.70 – $59.59 |
| Cooperman Barnabas Medical Center | Livingston, NJ | $395.14 | $47.70 – $59.59 |
| Adventhealth Fish Memorial | Orange City, FL | $397.35 | not published |
| Monmouth Medical Center | Long Branch, NJ | $408.01 | $47.70 – $59.59 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | $427.89 | $47.70 – $58.14 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $430.75 | $59.65 – $59.65 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $430.75 | $59.65 – $59.65 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $430.75 | $59.65 – $59.65 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $430.75 | $93.61 – $93.61 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $430.75 | $93.61 – $93.61 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $430.75 | $93.61 – $93.61 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $430.75 | $59.65 – $59.65 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $430.75 | $59.65 – $59.65 |
| Texas Health Hospital Frisco | Frisco, TX | $430.75 | $59.65 – $59.65 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $430.75 | $93.61 – $93.61 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $430.75 | $93.61 – $93.61 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $430.75 | $59.65 – $59.65 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $430.75 | $59.65 – $59.65 |
| Texas Health Hospital Rockwall | Rockwall, TX | $430.75 | $93.61 – $93.61 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $430.75 | $93.61 – $93.61 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $430.75 | $59.65 – $59.65 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $430.75 | $59.65 – $59.65 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $430.75 | $93.61 – $93.61 |