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 |
|---|---|---|---|
| Providence Milwaukie Hospital | Milwaukie, OR | $5,329.23 | $28.70 – $276.65 |
| Providence Hood River Memorial Hospital | Hood River, OR | $5,329.23 | not published |
| Providence Willamette Falls Medical Center | Oregon City, OR | $5,329.23 | $28.70 – $276.65 |
| Providence St Vincent Medical Center | Portland, OR | $5,329.23 | $28.70 – $276.65 |
| Providence Portland Medical Center | Portland, OR | $5,329.23 | $28.70 – $276.65 |
| Providence Seaside Hospital | Seaside, OR | $5,329.23 | not published |
| Providence Newberg Medical Center | Newberg, OR | $5,329.23 | $28.70 – $253.13 |
| Providence Medford Medical Center | Medford, OR | $5,329.23 | not published |
| Swedish Issaquah | Issaquah, WA | $5,492.25 | $28.62 – $267.34 |
| Swedish Edmonds Hospital | Edmonds, WA | $5,492.25 | $28.62 – $262.18 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $5,492.25 | $28.62 – $266.60 |
| Swedish Medical Center Cherry Hill | Seattle, WA | $5,492.25 | $28.62 – $266.60 |
| Providence Mount Carmel Hospital | Colville, WA | $5,504.26 | not published |
| Providence St Joseph Hospital | Chewelah, WA | $5,504.26 | not published |
| Covenant Children's Hospital | Lubbock, TX | $5,628.61 | $91.30 – $185.50 |
| Covenant Medical Center | Lubbock, TX | $5,628.61 | $91.30 – $202.15 |
| Covenant Hospital Levelland | Levelland, TX | $5,628.61 | $121.26 – $131.89 |
| Covenant Hospital Plainview | Plainview, TX | $5,628.61 | $121.26 – $131.89 |
| Covenant Health Hobbs Hospital | Hobbs, NM | $5,628.61 | not published |
| Covenant Specialty Hospital | Lubbock, TX | $5,628.61 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $5,761.55 | $28.62 – $256.55 |
| Providence Holy Family Hospital | Spokane, WA | $5,761.55 | $28.62 – $256.55 |
| Allina Health Faribault Medical Center | Faribualt, MN | $5,811.96 | $23.67 – $140.11 |
| Buffalo Hospital | Buffalo, MN | $5,811.96 | $23.67 – $139.24 |
| Cambridge Medical Center | Cambridge, MN | $5,811.96 | $23.67 – $140.11 |
| River Falls Area Hospital | River Falls, MN | $5,811.96 | $23.25 – $128.25 |
| Owatonna Hospital | Owatonna, MN | $5,811.96 | $23.67 – $139.24 |
| Providence St Joseph Hospital Orange | Orange, CA | $6,144.29 | $21.76 – $296.10 |
| Providence Kodiak Island Medical Center | Kodiak, AK | $6,316.71 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $6,457.78 | $22.03 – $296.10 |
| Queen of The Valley Medical Center | Napa, CA | $6,928.00 | $18.02 – $176.69 |
| St Jude Medical Center | Fullerton, CA | $7,134.90 | $22.31 – $296.10 |
| Orange County Anaheim Medical Center | Anaheim, CA | $7,610.94 | not published |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $7,610.94 | not published |
| Downey Medical Center | Downey, CA | $7,610.94 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $7,610.94 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $7,610.94 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $7,610.94 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $7,610.94 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $7,610.94 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $7,610.94 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $7,610.94 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $7,610.94 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $7,610.94 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $7,610.94 | not published |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $7,838.15 | $28.62 – $262.18 |
| Redwood City Medical Center | Redwood City, CA | $8,196.40 | not published |
| Oakland Medical Center | Oakland, CA | $8,196.40 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $8,196.40 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $8,196.40 | not published |