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 |
|---|---|---|---|
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $978.08 | $21.37 – $1,944.38 |
| Lasting Hope Recovery Center | Omaha, NE | $978.08 | $27.07 – $1,944.38 |
| CHI Health Immanuel | Omaha, NE | $978.08 | $21.37 – $1,944.38 |
| CHI Health Lakeside | Omaha, NE | $978.08 | $21.37 – $1,944.38 |
| CHI Health Midlands | Papillion, NE | $978.08 | $21.37 – $1,944.38 |
| CHI Health Nebraska Heart | Lincoln, NE | $1,071.23 | $25.64 – $1,875.75 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | $1,109.00 | $63.14 – $209.78 |
| CHI Health Mercy Corning | Corning, IA | $1,117.80 | $24.60 – $2,241.75 |
| CHI Health Missouri Valley | Missouri Valley, IA | $1,141.09 | $24.60 – $2,241.75 |
| CHI Health St. Elizabeth | Lincoln, NE | $1,164.38 | $25.64 – $1,830.00 |
| CHI Health St. Francis | Grand Island, NE | $1,373.97 | $25.64 – $2,150.25 |
| CHI Health Good Samaritan | Kearney, NE | $1,420.54 | $21.37 – $2,127.38 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $1,777.20 | not published |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | $1,865.00 | $63.14 – $209.78 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $1,866.60 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $1,866.60 | $676.80 – $1,840.05 |
| CHI Health St. Mary's | Nebraska City, NE | $1,932.87 | $489.99 – $2,196.00 |
| CHI Health Plainview | Plainview, NE | $1,956.15 | $1,395.38 – $3,097.74 |
| CHI Health Schuyler | Schuyler, NE | $1,979.44 | $489.99 – $2,589.91 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $2,446.33 | $30.28 – $12,581.10 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $2,446.33 | $30.28 – $12,581.10 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $2,446.33 | $30.28 – $15,516.69 |
| St. Joseph Health College Station Hospital | College Station, TX | $2,446.33 | $30.28 – $11,882.15 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | $2,450.00 | $157.87 – $209.78 |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $3,573.63 | not published |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $3,866.30 | $44.35 – $129.68 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $3,876.54 | $28.83 – $6,165.95 |
| San Martin Hospital | Las Vegas, NV | $3,877.17 | $27.93 – $7,718.34 |
| Providence Saint John's Health Center | Santa Monica, CA | $3,931.62 | $25.64 – $296.10 |
| Providence Saint Joseph Medical Center | Burbank, CA | $3,931.62 | $46.27 – $296.10 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $3,931.62 | $46.27 – $296.10 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $3,931.62 | $46.27 – $296.10 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $3,931.62 | $46.27 – $296.10 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $3,931.62 | $46.27 – $296.10 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $4,063.54 | $21.49 – $52.17 |
| Redwood Memorial Hospital | Fortuna, CA | $4,063.54 | $21.55 – $52.17 |
| Kadlec Regional Medical Center | Richland, WA | $4,279.06 | $37.60 – $256.55 |
| Siena Hospital | Henderson, NV | $4,293.26 | $27.93 – $7,718.34 |
| Healdsburg Hospital | Healdsburg, CA | $4,396.62 | $42.45 – $167.67 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $4,425.63 | $38.67 – $149.57 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $4,425.63 | $38.67 – $149.57 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $4,425.63 | $38.67 – $149.57 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $4,425.63 | $38.67 – $149.57 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $4,425.63 | $38.67 – $44.35 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $4,425.63 | $38.67 – $149.57 |
| Providence St Mary Medical Center | Walla Walla, WA | $4,919.09 | $66.60 – $256.55 |
| Abbott Northwestern Hospital | MN 55407, MN | $4,981.68 | $23.67 – $134.66 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $4,981.68 | $23.67 – $143.37 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $4,981.68 | $23.67 – $134.66 |
| Providence Valdez Medical Center | Valdez, AK | $5,155.25 | not published |