Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm cost in Nebraska
KIT OMNIGRAFT 2.5X2.5CM DERMAL REGENERATION MATRIX - Q4105-COST PER SQ CM · HCPCS Q4105
$978.08
lowest in Nebraska
$1,071.23
state median
$1,979.44
highest in Nebraska
$923.90
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $978.08 | $21.37 – $1,944.38 | 13 |
| Lasting Hope Recovery Center | Omaha | $978.08 | $27.07 – $1,944.38 | 12 |
| CHI Health Immanuel | Omaha | $978.08 | $21.37 – $1,944.38 | 13 |
| CHI Health Lakeside | Omaha | $978.08 | $21.37 – $1,944.38 | 13 |
| CHI Health Midlands | Papillion | $978.08 | $21.37 – $1,944.38 | 13 |
| CHI Health Nebraska Heart | Lincoln | $1,071.23 | $25.64 – $1,875.75 | 11 |
| CHI Health St. Elizabeth | Lincoln | $1,164.38 | $25.64 – $1,830.00 | 11 |
| CHI Health St. Francis | Grand Island | $1,373.97 | $25.64 – $2,150.25 | 12 |
| CHI Health Good Samaritan | Kearney | $1,420.54 | $21.37 – $2,127.38 | 12 |
| CHI Health St. Mary's | Nebraska City | $1,932.87 | $489.99 – $2,196.00 | 16 |
| CHI Health Plainview | Plainview | $1,956.15 | $1,395.38 – $3,097.74 | 19 |
| CHI Health Schuyler | Schuyler | $1,979.44 | $489.99 – $2,589.91 | 18 |