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 |
|---|---|---|---|
| Uniontown Hospital | Uniontown, PA | $1,909.30 | $98.00 – $294.79 |
| Weirton Medical Center | Weirton, WV | $1,989.00 | $126.52 – $643.91 |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $2,361.19 | $29.57 – $100.80 |
| CHI Health St. Mary's | Nebraska City, NE | $2,511.79 | $648.23 – $2,905.20 |
| AdventHealth Orlando | Orlando, FL | $2,534.00 | not published |
| CHI Health Plainview | Plainview, NE | $2,542.05 | $1,846.02 – $4,098.15 |
| UPMC Muncy | Muncy, PA | $2,568.60 | $58.03 – $58.03 |
| CHI Health Schuyler | Schuyler, NE | $2,572.32 | $648.23 – $3,426.33 |
| West Virginia University Hospitals | Morgantown, WV | $2,782.50 | $64.00 – $536.00 |
| Sunnyside Medical Center | CLACKAMAS, OR | $2,899.25 | not published |
| Westside Medical Center | HILLSBORO, OR | $2,899.25 | not published |
| San Martin Hospital | Las Vegas, NV | $2,981.93 | $40.33 – $3,509.34 |
| Central Medical Center | Seattle, WA | $2,987.00 | not published |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $3,060.00 | $20.63 – $108.92 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $3,060.00 | $20.63 – $108.92 |
| Siena Hospital | Henderson, NV | $3,301.95 | $40.33 – $3,509.34 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | $3,368.40 | $20.63 – $108.92 |
| UPMC Altoona | Altoona, PA | $3,468.00 | $17.06 – $315.20 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | $3,566.40 | $20.63 – $108.92 |
| Rose de Lima Hospital | Henderson, NV | $4,160.16 | $40.33 – $3,509.34 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | $4,627.90 | $50.69 – $181.27 |
| Riverside Medical Center | RIVERSIDE, CA | $4,659.72 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $4,659.72 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $4,659.72 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $4,659.72 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $4,659.72 | not published |
| Downey Medical Center | Downey, CA | $4,659.72 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $4,659.72 | not published |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $4,659.72 | not published |
| Orange County Anaheim Medical Center | Anaheim, CA | $4,659.72 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $4,659.72 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $4,659.72 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $4,659.72 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $4,659.72 | not published |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $209.78 – $209.78 |
| MultiCare Deaconess Hospital | Spokane, WA | not published | $135.90 – $567.04 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $209.78 – $209.78 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $209.78 – $209.78 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $209.78 – $209.78 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $209.78 – $209.78 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $273.35 – $273.35 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | not published | $273.35 – $273.35 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | not published | $381.42 – $381.42 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $273.35 – $273.35 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $381.42 – $381.42 |