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 |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $430.75 | $93.61 – $93.61 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | $441.20 | $35.31 – $58.14 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | $443.26 | $47.70 – $59.59 |
| Adventhealth Daytona Beach | Daytona Beach, FL | $454.10 | not published |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | $464.97 | $48.87 – $118.23 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $476.79 | $16.28 – $81.42 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $476.79 | $15.78 – $81.42 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $476.79 | $30.78 – $91.65 |
| MercyOne Clinton Medical Center | Clinton, IA | $476.79 | $15.78 – $81.42 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $476.79 | $31.12 – $81.42 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $476.79 | $14.12 – $81.42 |
| MercyOne Elkader Medical Center | Elkader, IA | $476.79 | $41.91 – $85.10 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $476.79 | $13.29 – $81.42 |
| MercyOne Newton Medical Center | Newton, IA | $476.79 | $16.28 – $81.42 |
| MercyOne North Iowa Medical Center | Mason City, IA | $476.79 | $16.28 – $81.42 |
| Abbott Northwestern Hospital | MN 55407, MN | $482.98 | $52.72 – $134.66 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $482.98 | $52.72 – $143.37 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $482.98 | $52.72 – $134.66 |
| Trinitas Regional Medical Center | Elizabeth, NJ | $490.02 | $33.34 – $295.55 |
| Beckley ARH Hospital | Beckley, WV | $526.26 | not published |
| Harlan ARH Hospital | KY 40831, KY | $526.26 | $57.61 – $57.61 |
| Middlesboro ARH Hospital | Middlesboro, KY | $526.26 | $57.61 – $57.61 |
| Morgan County ARH Hospital | Liberty, KY | $526.26 | $57.61 – $57.61 |
| Mary Breckinridge ARH Hospital | Hayden, KY | $526.26 | $57.61 – $57.61 |
| ARH Our Lady of the Way Hospital | Martin, KY | $526.26 | $57.61 – $57.61 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $526.26 | $57.61 – $57.61 |
| Hazard ARH Regional Medical Center | Hazard, KY | $526.26 | $57.61 – $57.61 |
| Barbourville ARH Hospital | Barbourville, KY | $526.26 | $57.61 – $57.61 |
| Paintsville ARH Hospital | Paintsville, KY | $526.26 | $62.21 – $62.21 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield, CA | $533.10 | $48.84 – $313.81 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $556.86 | $47.70 – $60.56 |
| Allina Health Faribault Medical Center | Faribualt, MN | $563.47 | $52.72 – $140.11 |
| Buffalo Hospital | Buffalo, MN | $563.47 | $52.72 – $134.66 |
| Cambridge Medical Center | Cambridge, MN | $563.47 | $52.72 – $140.11 |
| River Falls Area Hospital | River Falls, MN | $563.47 | $38.54 – $134.28 |
| Owatonna Hospital | Owatonna, MN | $563.47 | $52.72 – $133.12 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $593.87 | $38.26 – $96.64 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $599.90 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $599.90 | not published |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $599.90 | not published |
| Texas Health Hospital Mansfield | Mansfield, TX | $659.21 | $92.47 – $250.02 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | $659.21 | $92.47 – $250.44 |
| Henry Ford Rochester Hospital | Rochester, MI | $679.62 | $71.14 – $79.12 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $685.56 | $21.75 – $51.79 |
| ADVENTIST HEALTH DELANO | Delano, CA | $710.80 | $49.05 – $3,020.90 |
| MUSC Health Black River Medical Center | Cades, SC | $718.00 | $73.31 – $127.32 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $718.00 | $73.31 – $127.32 |
| MUSC Health Florence Medical Center | Florence, SC | $718.00 | $73.31 – $127.32 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $718.00 | not published |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $718.00 | $73.31 – $133.02 |