Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm cost in California
KIT OMNIGRAFT 2.5X2.5CM DERMAL REGENERATION MATRIX - Q4105-COST PER SQ CM · HCPCS Q4105
$3,931.62
lowest in California
$4,063.54
state median
$8,207.02
highest in California
$288.32
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Providence Saint John's Health Center | Santa Monica | $3,931.62 | $25.64 – $296.10 | 9 |
| Providence Saint Joseph Medical Center | Burbank | $3,931.62 | $46.27 – $296.10 | 8 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $3,931.62 | $46.27 – $296.10 | 8 |
| Providence Holy Cross Medical Center | Mission Hills | $3,931.62 | $46.27 – $296.10 | 8 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | $3,931.62 | $46.27 – $296.10 | 8 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $3,931.62 | $46.27 – $296.10 | 8 |
| Providence St Joseph Hospital Eureka | Eureka | $4,063.54 | $21.49 – $52.17 | 3 |
| Redwood Memorial Hospital | Fortuna | $4,063.54 | $21.55 – $52.17 | 2 |
| Healdsburg Hospital | Healdsburg | $4,396.62 | $42.45 – $167.67 | 2 |
| Providence St Joseph Hospital Orange | Orange | $6,144.29 | $21.76 – $296.10 | 6 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $6,457.78 | $22.03 – $296.10 | 6 |
| Queen of The Valley Medical Center | Napa | $6,928.00 | $18.02 – $176.69 | 3 |
| St Jude Medical Center | Fullerton | $7,134.90 | $22.31 – $296.10 | 6 |
| Santa Rosa Memorial Hospital | Santa Rosa | $8,207.02 | $17.90 – $176.69 | 4 |
| Petaluma Valley Hospital | Petaluma | $8,207.02 | $16.65 – $171.13 | 4 |