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 |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco, TX | $142.68 | $60.63 – $60.63 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $142.68 | $95.15 – $95.15 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $142.68 | $95.15 – $95.15 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $142.68 | $60.63 – $60.63 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $142.68 | $60.63 – $60.63 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $142.68 | $95.15 – $95.15 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $142.68 | $60.63 – $60.63 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $142.68 | $95.15 – $95.15 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $142.68 | $95.15 – $95.15 |
| United Hospital Center | Bridgeport, WV | $143.50 | $41.81 – $221.41 |
| Berkeley Medical Center | Martinsburg, WV | $143.50 | $41.81 – $221.41 |
| Camden Clark Medical Center | Parkersburg, WV | $143.50 | $126.52 – $221.41 |
| Princeton Community Hospital | Princeton, WV | $143.50 | $126.52 – $736.93 |
| Reynolds Memorial Hospital | Glen Dale, WV | $143.50 | $41.81 – $221.41 |
| Thomas Hospitals | South Charleston, WV | $143.50 | $41.81 – $640.31 |
| Uniontown Hospital | Uniontown, PA | $143.50 | $126.52 – $294.79 |
| Wetzel County Hospital | New Martinsville, WV | $143.50 | $41.81 – $221.41 |
| Weirton Medical Center | Weirton, WV | $143.50 | $126.52 – $643.91 |
| Sanford Medical Center Bismarck | Bismarck, ND | $145.75 | $57.77 – $163.96 |
| Riverside Methodist Hospital | Columbus, OH | $150.60 | $51.47 – $119.99 |
| Dublin Methodist Hospital | Dublin, OH | $150.60 | $51.47 – $119.99 |
| Doctors Hospital | Columbus, OH | $150.60 | $51.47 – $122.62 |
| Grant Medical Center | Columbus, OH | $150.60 | $51.47 – $119.99 |
| AdventHealth Avista | Louisville, CO | $154.95 | $24.56 – $245.55 |
| AdventHealth Parker | Parker, CO | $154.95 | $24.56 – $242.86 |
| AdventHealth Porter | Denver, CO | $154.95 | $24.56 – $242.86 |
| AdventHealth Littleton | Littleton, CO | $154.95 | $24.56 – $242.86 |
| AdventHealth Castle Rock | Castle Rock, CO | $154.95 | $24.56 – $242.86 |
| West Virginia University Hospitals | Morgantown, WV | $159.00 | $41.81 – $536.00 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $159.90 | $38.36 – $45.42 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $171.12 | $14.99 – $3,918.01 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $171.12 | $14.99 – $6,112.13 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $171.12 | $14.99 – $4,450.29 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $171.12 | $14.99 – $4,430.23 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | $171.86 | $28.37 – $45.42 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $179.32 | $38.36 – $45.42 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $181.80 | $17.03 – $346.14 |
| HSHS St. Francis Hospital | LITCHFIELD, IL | $187.20 | $209.78 – $260.00 |
| HSHS St. Joseph's Hospital | HIGHLAND, IL | $187.20 | $61.69 – $260.00 |
| Grant Memorial Hospital | Petersburg, WV | $191.20 | $41.81 – $41.81 |
| Adventhealth Carrollwood | Tampa, FL | $200.85 | not published |
| MercyOne Waterloo Medical Center | Waterloo, IA | $234.08 | $42.17 – $210.83 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $234.08 | $40.86 – $210.83 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $234.08 | $79.69 – $237.31 |
| MercyOne Clinton Medical Center | Clinton, IA | $234.08 | $40.86 – $210.83 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $234.08 | $80.58 – $210.83 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $234.08 | $36.56 – $210.83 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $234.08 | $34.41 – $210.83 |
| MercyOne Newton Medical Center | Newton, IA | $234.08 | $42.17 – $210.83 |
| MercyOne North Iowa Medical Center | Mason City, IA | $234.08 | $42.17 – $210.83 |