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 |
|---|---|---|---|
| MercyOne Elkader Medical Center | Elkader, IA | $234.08 | $108.51 – $220.36 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $243.11 | $86.69 – $218.96 |
| MUSC Health Black River Medical Center | Cades, SC | $243.50 | $29.00 – $127.32 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $243.50 | $29.00 – $127.32 |
| MUSC Health Florence Medical Center | Florence, SC | $243.50 | $29.00 – $127.32 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $243.50 | not published |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $243.50 | $29.00 – $133.02 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | $270.00 | $32.26 – $32.26 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | $270.00 | $22.55 – $32.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $288.32 | $14.56 – $106.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $288.32 | $14.15 – $131.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $288.32 | $18.86 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $288.32 | $22.71 – $186.89 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $288.32 | $36.55 – $106.11 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $288.32 | $20.04 – $268.77 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $288.32 | $18.86 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $288.32 | $17.68 – $269.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $288.32 | $14.15 – $186.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $288.32 | $12.97 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $288.32 | $12.97 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $288.32 | $20.04 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $288.32 | $33.01 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $288.32 | $12.97 – $186.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $288.32 | $14.15 – $268.77 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $288.32 | $23.58 – $186.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $288.32 | $22.40 – $94.32 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $288.32 | $17.68 – $186.89 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $288.32 | $12.97 – $268.77 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $288.32 | $15.14 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $288.32 | $17.68 – $268.77 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $288.32 | $9.43 – $268.77 |
| MUSC Health Kershaw Medical Center | Camden, SC | $312.00 | $29.00 – $132.32 |
| Sanford Fargo Medical Center | Fargo, ND | $328.24 | $1.00 – $208.68 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $360.12 | $34.41 – $210.83 |
| MercyOne Centerville Medical Center | Centerville, IA | $360.12 | $57.85 – $210.83 |
| MUSC Health Chester Medical Center | Chester, SC | $370.00 | $29.00 – $132.32 |
| HORIZON MEDICAL CENTER | DICKSON, TN | $464.00 | $32.22 – $336.92 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $547.30 | $11.87 – $334.63 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | $568.00 | $32.22 – $336.92 |
| OSF Saint Anthony's Health Center | Alton, IL | $603.00 | $133.36 – $136.02 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | $740.00 | $336.92 – $336.92 |
| Sanford USD Medical Center | Sioux Falls, SD | $820.80 | $1.00 – $372.60 |
| AdventHealth Orlando | Orlando, FL | $853.00 | not published |
| Beckley ARH Hospital | Beckley, WV | $923.90 | not published |
| Harlan ARH Hospital | KY 40831, KY | $923.90 | not published |
| Middlesboro ARH Hospital | Middlesboro, KY | $923.90 | not published |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $923.90 | not published |
| Hazard ARH Regional Medical Center | Hazard, KY | $923.90 | not published |
| Paintsville ARH Hospital | Paintsville, KY | $923.90 | not published |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $978.08 | $21.37 – $1,944.38 |