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 |
|---|---|---|---|
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $733.52 | $13.29 – $81.42 |
| MercyOne Centerville Medical Center | Centerville, IA | $733.52 | $22.34 – $81.42 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | $734.00 | $157.70 – $295.59 |
| Moanalua Medical Center | HONOLULU, HI | $734.40 | not published |
| MUSC Health Kershaw Medical Center | Camden, SC | $741.50 | $73.31 – $132.32 |
| Baptist Health Floyd | New Albany, IN | $767.42 | $45.09 – $522.24 |
| Baptist Health Hardin | Elizabethtown, KY | $767.42 | $57.61 – $696.32 |
| Baptist Health Corbin | Corbin, KY | $767.42 | $62.21 – $696.32 |
| Baptist Health La Grange | La Grange, KY | $767.42 | $62.21 – $696.32 |
| Baptist Health Lexington | Lexington, KY | $767.42 | $53.78 – $707.81 |
| Baptist Health Louisville | Louisville, KY | $767.42 | $55.99 – $696.32 |
| Baptist Health Paducah | Paducah, KY | $767.42 | $52.76 – $696.32 |
| MUSC Health Chester Medical Center | Chester, SC | $879.00 | $73.31 – $132.32 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | $900.00 | $157.70 – $295.59 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $900.18 | $41.23 – $149.57 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $900.18 | $41.23 – $78.74 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $900.18 | $41.23 – $149.57 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $900.18 | $41.23 – $149.57 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $900.18 | $41.23 – $149.57 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $900.18 | $41.23 – $149.57 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $959.58 | $60.19 – $346.14 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | $1,068.00 | $157.70 – $295.59 |
| Trinity Medical Center East | Steubenville, OH | $1,099.48 | $48.45 – $1,363.67 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $1,250.85 | $56.20 – $1,822.04 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $1,271.03 | $39.30 – $2,572.32 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $1,271.03 | $39.30 – $2,572.32 |
| Lasting Hope Recovery Center | Omaha, NE | $1,271.03 | $49.78 – $2,572.32 |
| CHI Health Immanuel | Omaha, NE | $1,271.03 | $39.30 – $2,572.32 |
| CHI Health Lakeside | Omaha, NE | $1,271.03 | $39.30 – $2,572.32 |
| CHI Health Midlands | Papillion, NE | $1,271.03 | $39.30 – $2,572.32 |
| Adventhealth Redmond | Rome, GA | $1,279.57 | $45.96 – $359.56 |
| Franklin Memorial Hospital | Farmington, ME | $1,295.00 | $45.00 – $1,217.30 |
| MaineHealth - Memorial Hospital | North Conway, NH | $1,295.00 | $40.95 – $53.49 |
| Mid Coast Hospital | Brunswick, ME | $1,345.00 | $45.00 – $1,062.00 |
| CHI Health Nebraska Heart | Lincoln, NE | $1,392.08 | $47.16 – $2,481.53 |
| Adventhealth Gordon | Calhoun, GA | $1,401.29 | not published |
| CHI Health Mercy Corning | Corning, IA | $1,452.60 | $46.13 – $2,965.73 |
| CHI Health Missouri Valley | Missouri Valley, IA | $1,482.87 | $46.13 – $2,965.73 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | $1,496.00 | $89.59 – $209.78 |
| CHI Health St. Elizabeth | Lincoln, NE | $1,513.13 | $47.16 – $2,421.00 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $1,550.90 | $23.13 – $239.88 |
| HCA HOUSTON NORTHWEST | SPRING, TX | $1,576.00 | $89.59 – $209.78 |
| UPMC Jameson | New Castle, PA | $1,612.20 | $17.36 – $53.28 |
| Adventhealth Port Charlotte | Port Charlotte, FL | $1,624.72 | not published |
| CHI Health St. Francis | Grand Island, NE | $1,785.49 | $47.16 – $2,844.68 |
| United Hospital Center | Bridgeport, WV | $1,838.50 | $74.25 – $221.41 |
| Camden Clark Medical Center | Parkersburg, WV | $1,838.50 | $87.00 – $221.41 |
| CHI Health Good Samaritan | Kearney, NE | $1,846.02 | $39.30 – $2,814.42 |
| UPMC Western Maryland | Cumberland, MD | $1,879.20 | $3,132.00 – $3,132.00 |
| Thomas Hospitals | South Charleston, WV | $1,890.00 | $74.25 – $640.31 |