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.

Most expensive published cash price

$4,659.72

Moreno Valley Medical Center — MORENO VALLEY, CA

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
HCA FLORIDA JFK HOSPITAL PALM BEACH GARDENS, FL not published $209.78 – $209.78
HCA FLORIDA GULF COAST HOSPITAL PANAMA CITY, FL not published $381.42 – $381.42
HCA FLORIDA BAYONET POINT HOSPITAL HUDSON, FL not published $273.35 – $273.35
HCA FLORIDA AVENTURA HOSPITAL HIALEAH, FL not published $209.78 – $209.78
HCA HealthONE BELMAR ER, A PART OF SWEDISH LAKEWOOD, CO not published $209.78 – $381.42
HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION Denver, CO not published $209.78 – $381.42
HCA HealthONE SKY RIDGE Lone Tree, CO not published $209.78 – $381.42
CENTRAL PARK ER, A PART OF ROSE DENVER, CO not published $209.78 – $381.42
HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's Denver, CO not published $209.78 – $209.78
HCA HealthONE MOUNTAIN RIDGE Thornton, CO not published $209.78 – $381.42
HCA HOUSTON WEST HOUSTON, TX not published $89.59 – $209.78
HCA HOUSTON SOUTHEAST PASADENA, TX not published $89.59 – $209.78
HCA HOUSTON TOMBALL HOUSTON, TX not published $89.59 – $209.78
HCA HOUSTON PEARLAND Pearland, TX not published $89.59 – $209.78
HCA HOUSTON MEDICAL CENTER Houston, TX not published $89.59 – $209.78
HCA HOUSTON CONROE CONROE, TX not published $89.59 – $209.78
TRICITIES HOSPITAL HOPEWELL, VA not published $336.92 – $336.92
HENRICO DOCTORS HOSPITAL RICHMOND, VA not published $336.92 – $336.92
STONESPRINGS HOSPITAL CENTER Dulles, VA not published $76.05 – $336.92
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg, VA not published $336.92 – $336.92
LEWISGALE MEDICAL CENTER ROANOKE, VA not published $381.42 – $381.42
RESTON HOSPITAL CENTER VIENNA, VA not published $76.05 – $336.92
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG, VA not published $336.92 – $336.92
LEWISGALE HOSPITAL-PULASKI PULASKI, VA not published $336.92 – $336.92
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR, VA not published $336.92 – $336.92
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD, VA not published $44.02 – $336.92
HCA HEALTHCARE BRIGHTON PARK ER MONCKS CORNER, SC not published $50.24 – $60.46
LIVE OAK MENTAL HEALTH AND WELLNESS Ladson, SC not published $60.46 – $60.46
CHRISTUS Santa Rosa Emergency Center - Alon San Antonio, TX not published $46.98 – $175.53
SUMMIT MEDICAL CENTER MT JULIET, TN not published $59.25 – $336.92
STONECREST MEDICAL CENTER Smyrna, TN not published $59.25 – $336.92
SOUTHERN HILLS MEDICAL CENTER ANTIOCH, TN not published $59.25 – $336.92
SKYLINE MADISON CAMPUS NASHVILLE, TN not published $59.25 – $336.92
NORTHCREST MEDICAL CENTER SPRINGFIELD, TN not published $59.25 – $336.92
HORIZON MEDICAL CENTER DICKSON, TN not published $59.25 – $336.92
HENDERSONVILLE MEDICAL CENTER HENDERSONVILLE, TN not published $59.25 – $336.92
CENTENNIAL MEDICAL CENTER AT ASHLAND CITY Ashland City, TN not published $59.25 – $336.92
GREENVIEW REGIONAL HOSPITAL BOWLING GREEN, KY not published $209.78 – $209.78
MEDICAL CITY ALLIANCE HOSPITAL SAGINAW, TX not published $157.70 – $295.59
MEDICAL CITY DALLAS HOSPITAL Dallas, TX not published $157.70 – $295.59
MEDICAL CITY FRISCO HOSPITAL Frisco, TX not published $157.70 – $295.59
MEDICAL CITY LAS COLINAS HOSPITAL Irving, TX not published $157.70 – $295.59
Kettering Health Troy Troy, OH not published $59.11 – $327.66
Kettering Health Hamilton (Fort Hamilton) Hamilton, OH not published $59.11 – $331.47
Kettering Health Greene Memorial Xenia, OH not published $59.11 – $327.66
Soin Medical Center Beaver Creek, OH not published $59.11 – $329.42
Kettering Health Dayton (Grandview) Dayton, OH not published $59.11 – $329.42
Kettering Health Miamisburg (Sycamore) Miamisburg, OH not published $59.11 – $331.47
Kettering Health Main Campus (Kettering) Kettering, OH not published $59.11 – $329.42
Virginia Mason Medical Center Seattle, WA not published $113.81 – $113.81

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