Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm cost in Ohio
KIT OMNIGRAFT 2.5X2.5CM DERMAL REGENERATION MATRIX - Q4105-COST PER SQ CM · HCPCS Q4105
$119.50
lowest in Ohio
$135.77
state median
$150.60
highest in Ohio
$360.12
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Barnesville Hospital | Barnesville | $119.50 | $41.81 – $41.81 | 1 |
| Berger Hospital | Circleville | $135.77 | $51.47 – $65.44 | 2 |
| Southeastern Medical Center | Cambridge | $135.77 | $51.47 – $122.44 | 3 |
| Hardin Memorial Hospital | Kenton | $135.77 | $51.47 – $51.47 | 1 |
| O'Bleness Hospital | Athens | $135.77 | $51.47 – $118.83 | 2 |
| Marion General Hospital | Marion | $135.77 | $51.47 – $123.58 | 3 |
| Grady Memorial Hospital | Delaware | $135.77 | $51.47 – $124.79 | 3 |
| Riverside Methodist Hospital | Columbus | $150.60 | $51.47 – $119.99 | 3 |
| Dublin Methodist Hospital | Dublin | $150.60 | $51.47 – $119.99 | 3 |
| Doctors Hospital | Columbus | $150.60 | $51.47 – $122.62 | 3 |
| Grant Medical Center | Columbus | $150.60 | $51.47 – $119.99 | 3 |
| Kettering Health Troy | Troy | not published | $35.48 – $327.66 | 9 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton | not published | $35.48 – $331.47 | 9 |
| Kettering Health Greene Memorial | Xenia | not published | $35.48 – $327.66 | 9 |
| Soin Medical Center | Beaver Creek | not published | $35.48 – $329.42 | 9 |
| Kettering Health Dayton (Grandview) | Dayton | not published | $35.48 – $329.42 | 9 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg | not published | $35.48 – $331.47 | 9 |
| Kettering Health Main Campus (Kettering) | Kettering | not published | $35.48 – $329.42 | 9 |
| University Hospitals Ahuja Medical Center | Beachwood | not published | $58.81 – $211.92 | 17 |
| south pointe hospital | Warrensville Heights | not published | $24.13 – $129.51 | 12 |
| mercy hospital | Canton | not published | $24.13 – $129.51 | 10 |
| medina hospital | Medina | not published | $24.13 – $206.39 | 14 |
| marymount hospital | Garfield Heights | not published | $24.13 – $254.88 | 13 |
| lodi hospital | Lodi | not published | $127.14 – $127.14 | 1 |
| hillcrest hospital | Mayfield Heights | not published | $24.13 – $323.77 | 13 |
| lutheran hospital | Cleveland | not published | $24.13 – $129.51 | 13 |
| fairview hospital | Cleveland | not published | $24.13 – $323.77 | 14 |
| euclid hospital | Euclid | not published | $24.13 – $129.51 | 12 |
| avon hospital | Avon | not published | $24.13 – $129.51 | 13 |
| akron general | Akron | not published | $26.40 – $303.05 | 12 |
| cleveland clinic main campus | Cleveland | not published | $26.40 – $129.51 | 14 |
| Shelby Hospital | Shelby | not published | $44.35 – $44.35 | 1 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | not published | $74.69 – $211.92 | 17 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | not published | $103.75 – $211.92 | 17 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | not published | $67.13 – $228.85 | 16 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | not published | $49.55 – $211.92 | 17 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | not published | $117.73 – $211.92 | 17 |
| University Hospitals Samaritan Medical Center | Ashland | not published | $63.48 – $63.48 | 1 |
| University Hospitals St. John Medical Center | Westlake OH | not published | $43.81 – $242.76 | 2 |
| University Hospitals Geneva Medical Center | Geneva | not published | $84.21 – $242.76 | 2 |
| University Hospitals Elyria Medical Center | Elyria | not published | $50.83 – $211.92 | 17 |
| University Hospitals Conneaut Medical Center | Conneaut | not published | $69.36 – $91.05 | 2 |
| University Hospitals Beachwood Medical Center | Beachwood | not published | $117.73 – $298.19 | 19 |
| Van Wert Hospital | Van Wert | not published | $44.35 – $130.34 | 3 |
| Mansfield Hospital | Mansfield | not published | $44.35 – $123.58 | 3 |