Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm cost at US hospitals
KIT OMNIGRAFT 2.5X2.5CM DERMAL REGENERATION MATRIX - Q4105-COST PER SQ CM · HCPCS Q4105
$47.50
lowest cash price
$360.12
national median
$8,977.00
highest cash price
270
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $47.50–$8,977.00 — the variation is the story.
Cheapest published cash price
$47.50
Aurora Sinai Medical Center of Aurora Health Care Metro — Milwaukee, WIMedian cash price over time
Nov 1, 2025 ($47.50) → Sep 1, 2026 ($270.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | $5,155.25 | $5,155.25 | $6,316.71 |
| Arizona | 6 | $93.28 | $104.75 | $3,876.54 |
| California | 47 | $181.80 | $7,610.94 | $8,207.02 |
| Colorado | 12 | $154.95 | $154.95 | $154.95 |
| Florida | 18 | $139.75 | $171.86 | $853.00 |
| Georgia | 11 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 21 | $187.20 | $603.00 | $3,573.63 |
| Indiana | 9 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 29 | $234.08 | $234.08 | $1,866.60 |
| Kansas | 2 | $136.80 | $136.80 | $136.80 |
| Kentucky | 6 | $923.90 | $923.90 | $923.90 |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 11 | $171.12 | $171.12 | $171.12 |
| Minnesota | 11 | $95.48 | $5,811.96 | $5,811.96 |
| Missouri | 14 | $4,425.63 | $4,425.63 | $4,425.63 |
| Montana | 2 | $3,866.30 | $3,866.30 | $3,866.30 |
| Nebraska | 12 | $978.08 | $1,071.23 | $1,979.44 |
| Nevada | 2 | $3,877.17 | $3,877.17 | $4,293.26 |
| New Jersey | 21 | $49.12 | $57.63 | $81.22 |
| New Mexico | 3 | $5,628.61 | $5,628.61 | $5,628.61 |
| New York | 17 | $127.14 | $127.14 | $127.14 |
| North Carolina | 2 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 2 | $145.75 | $145.75 | $328.24 |
| Ohio | 45 | $119.50 | $135.77 | $150.60 |
| Oklahoma | 4 | $547.30 | $547.30 | $547.30 |
| Oregon | 10 | $5,329.23 | $5,329.23 | $8,502.16 |
| Pennsylvania | 1 | $143.50 | $143.50 | $143.50 |
| South Carolina | 9 | $243.50 | $243.50 | $370.00 |
| South Dakota | 1 | $820.80 | $820.80 | $820.80 |
| Tennessee | 17 | $464.00 | $568.00 | $8,824.20 |
| Texas | 102 | $142.68 | $288.32 | $5,628.61 |
| Virginia | 11 | $740.00 | $740.00 | $740.00 |
| Washington | 21 | $4,279.06 | $5,492.25 | $8,977.00 |
| West Virginia | 17 | $119.50 | $143.50 | $923.90 |
| Wisconsin | 21 | $47.50 | $47.50 | $47.50 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Wayne | Wayne, MI | not published | $18.01 – $167.47 |
| Corewell Health Troy | Troy, MI | not published | $20.41 – $167.40 |
| Corewell Health Trenton | Trenton, MI | not published | $18.08 – $167.47 |
| Corewell Health Taylor | Taylor, MI | not published | $18.18 – $167.47 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $18.10 – $167.47 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $91.32 – $223.19 |
| Aurora West Allis Medical Center | West Allis, WI | not published | $31.19 – $73.88 |
| Aurora Medical Center Washington County | Hartford, WI | not published | $31.19 – $73.88 |
| Aurora Medical Center Summit | Summit, WI | not published | $31.19 – $73.88 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $31.19 – $73.88 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | not published | $31.19 – $73.88 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | not published | $31.19 – $73.88 |
| Aurora Medical Center Kenosha | Kenosha, WI | not published | $31.19 – $73.88 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | not published | $31.19 – $73.88 |
| Aurora Medical Center Bay Area | Marinette, WI | not published | $31.19 – $73.88 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | not published | $22.17 – $35.34 |
| Aurora Baycare Medical Center | Green Bay, WI | not published | $31.19 – $73.88 |
| South Brooklyn Health | Brooklyn, NY | not published | $25.84 – $310.68 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $22.55 – $273.35 |
| Shelby Hospital | Shelby, OH | not published | $44.35 – $44.35 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $91.32 – $223.19 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | not published | $33.71 – $125.35 |
| Franklin Memorial Hospital | Farmington, ME | not published | $23.96 – $59.85 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | not published | $33.71 – $120.88 |
| Wellstar MCG Health | Augusta, GA | not published | $57.71 – $213.74 |
| Wellstar Kennestone Hospital | Marietta, GA | not published | $57.71 – $233.84 |
| CHRISTUS Children's Hospital | San Antonio, TX | not published | $82.28 – $82.28 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $26.51 – $233.39 |
| Wellstar Douglas Hospital | Douglasville, GA | not published | $57.71 – $231.74 |
| Wellstar Cobb Hospital | Austell, GA | not published | $57.71 – $233.84 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | not published | $21.90 – $21.90 |
| Adventhealth Rollins Brook | Lampasas, TX | not published | $178.87 – $178.87 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $23.25 – $256.03 |
| CHRISTUS St. Vincent Regional Medical Center | Santa Fe, NM | not published | $40.18 – $57.14 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $26.68 – $74.99 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $26.68 – $62.54 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $26.68 – $84.70 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $26.68 – $84.70 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $25.58 – $77.21 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $26.68 – $52.04 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | not published | $50.84 – $216.04 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $37.77 – $49.98 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $22.55 – $273.35 |
| Jacobi Medical Center | Bronx, NY | not published | $25.84 – $310.68 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $25.84 – $310.68 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | not published | $21.98 – $224.36 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | not published | $74.69 – $211.92 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | $22.18 – $33.01 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | not published | $25.58 – $82.43 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | not published | $25.58 – $237.56 |