Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm cost in Virginia
KIT OMNIGRAFT 2.5X2.5CM DERMAL REGENERATION MATRIX - Q4105-COST PER SQ CM · HCPCS Q4105
$740.00
lowest in Virginia
$740.00
state median
$740.00
highest in Virginia
$234.08
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| HENRICO DOCTORS HOSPITAL | RICHMOND | $740.00 | $19.76 – $336.92 | 5 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $19.76 – $336.92 | 5 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $17.44 – $336.92 | 4 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | not published | $22.55 – $336.92 | 3 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $22.55 – $336.92 | 4 |
| LEWISGALE MEDICAL CENTER | ROANOKE | not published | $19.76 – $381.42 | 4 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $17.44 – $336.92 | 4 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $19.76 – $336.92 | 4 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $19.76 – $336.92 | 4 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $19.76 – $336.92 | 5 |