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 |
|---|---|---|---|
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $148.46 – $248.89 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $108.80 – $126.93 |
| Newark Wayne Community Hospital | Newark, NY | not published | $52.75 – $120.89 |
| The Unity Hospital of Rochester | Rochester, NY | not published | $52.75 – $52.75 |
| Rochester General Hospital | Rochester, NY | not published | $52.75 – $93.83 |
| MultiCare Valley Hospital | Spokane Valley, WA | not published | $139.98 – $565.77 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | not published | $146.60 – $999.96 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | not published | $142.33 – $597.36 |
| MultiCare Covington Medical Center | Covington, WA | not published | $141.62 – $597.36 |
| MultiCare Capital Medical Center | Olympia, WA | not published | $141.22 – $643.84 |
| MultiCare Allenmore Hospital | Tacoma, WA | not published | $142.33 – $597.36 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $157.70 – $295.59 |
| MultiCare Auburn Medical Center | Auburn, WA | not published | $141.62 – $597.36 |
| OSF Saint Francis Medical Center | Peoria, IL | not published | $42.17 – $453.36 |
| OSF Saint Anthony's Health Center | Alton, IL | not published | $133.36 – $136.02 |
| OSF Saint Anthony Medical Center | Rockford, IL | not published | $42.17 – $466.75 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | not published | $131.66 – $197.50 |
| Parkview Ortho Hospital | Fort Wayne, IN | not published | $97.70 – $197.50 |
| Parkview Noble Hospital | Kendallville, IN | not published | $131.66 – $197.50 |
| Parkview Wabash Hospital | Wabash, IN | not published | $209.78 – $209.78 |
| Parkview LaGrange Hospital | Lagrange, IN | not published | $209.78 – $209.78 |
| Parkview Huntington Hospital | Huntington, IN | not published | $131.66 – $197.50 |
| Parkview DeKalb Hospital | Auburn, IN | not published | $131.66 – $197.50 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | not published | $97.70 – $197.50 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $112.91 – $118.56 |
| Parkwest Medical Center | Knoxville, TN | not published | $60.66 – $118.56 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $112.91 – $118.56 |
| LeConte Medical Center | Sevierville, TN | not published | $120.92 – $126.97 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $112.91 – $118.56 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $112.91 – $118.56 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $51.79 – $178.27 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $120.92 – $126.97 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $23.13 – $198.84 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $46.98 – $122.78 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $43.95 – $48.35 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $44.31 – $151.30 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $23.13 – $94.43 |
| Claiborne Medical Center | Tazewell, TN | not published | $120.92 – $126.97 |
| Roane County Medical Center | Harriman, TN | not published | $112.91 – $118.56 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $51.79 – $151.30 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $44.31 – $151.30 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $44.31 – $151.30 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $51.79 – $201.58 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $51.79 – $216.70 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $51.79 – $78.16 |
| CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs | Sulphur Springs, TX | not published | $126.62 – $126.62 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $51.79 – $78.16 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $46.98 – $122.78 |
| Kadlec Regional Medical Center | Richland, WA | not published | $60.17 – $256.55 |
| Providence St Mary Medical Center | Walla Walla, WA | not published | $106.60 – $286.25 |