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 |
|---|---|---|---|
| Riverview Medical Center | Red Bank, NJ | not published | $22.18 – $33.01 |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | $22.18 – $33.01 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $22.18 – $33.71 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | not published | $103.75 – $211.92 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | not published | $67.13 – $228.85 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | not published | $49.55 – $211.92 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | not published | $117.73 – $211.92 |
| Raritan Bay Medical Center | Perth Amboy, NJ | not published | $22.18 – $33.71 |
| University Hospitals Samaritan Medical Center | Ashland, OH | not published | $63.48 – $63.48 |
| University Hospitals St. John Medical Center | Westlake OH, OH | not published | $43.81 – $242.76 |
| University Hospitals Geneva Medical Center | Geneva, OH | not published | $84.21 – $242.76 |
| University Hospitals Elyria Medical Center | Elyria, OH | not published | $50.83 – $211.92 |
| Ocean University Medical Center | Brick, NJ | not published | $22.18 – $33.01 |
| Hackensack University Medical Center | Hackensack, NJ | not published | $33.71 – $33.71 |
| Bayshore Medical Center | Holmdel, NJ | not published | $22.18 – $22.18 |
| Advocate Trinity Hospital | Chicago, IL | not published | $41.53 – $85.07 |
| Mid Coast Hospital | Brunswick, ME | not published | $24.33 – $59.85 |
| Harlem Hospital Center | New York, NY | not published | $25.84 – $310.68 |
| Waldo County General Hospital | Belfast, ME | not published | $23.96 – $59.85 |
| Spring Harbor Hospital | Westbrook, ME | not published | $25.17 – $47.26 |
| Pen Bay Medical Center | Rockport, ME | not published | $24.33 – $59.85 |
| Metropolitan Hospital Center | New York, NY | not published | $25.84 – $310.68 |
| Lincoln Medical Center | Bronx, NY | not published | $25.84 – $310.68 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | not published | $69.36 – $91.05 |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $41.53 – $85.07 |
| Advocate Sherman Hospital | Elgin, IL | not published | $29.17 – $69.36 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $41.53 – $85.07 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $41.53 – $85.07 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | not published | $117.73 – $298.19 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | not published | $44.40 – $149.57 |
| Van Wert Hospital | Van Wert, OH | not published | $44.35 – $130.34 |
| Mansfield Hospital | Mansfield, OH | not published | $44.35 – $123.58 |