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 |
|---|---|---|---|
| Santa Clara Medical Center | SANTA CLARA, CA | $8,196.40 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $8,196.40 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $8,196.40 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $8,196.40 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $8,196.40 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $8,196.40 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $8,196.40 | not published |
| Vallejo Medical Center | VALLEJO, CA | $8,196.40 | not published |
| Antioch Medical Center | ANTIOCH, CA | $8,196.40 | not published |
| Fremont Medical Center | FREMONT, CA | $8,196.40 | not published |
| Fresno Medical Center | FRESNO, CA | $8,196.40 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $8,196.40 | not published |
| San Jose Medical Center | SAN JOSE, CA | $8,196.40 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $8,196.40 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $8,207.02 | $17.90 – $176.69 |
| Petaluma Valley Hospital | Petaluma, CA | $8,207.02 | $16.65 – $171.13 |
| Sunnyside Medical Center | CLACKAMAS, OR | $8,502.16 | not published |
| Westside Medical Center | HILLSBORO, OR | $8,502.16 | not published |
| Fort Sanders Regional Medical Center | Knoxville, TN | $8,824.20 | $112.91 – $11,409.79 |
| Central Medical Center | Seattle, WA | $8,977.00 | not published |
| MultiCare Deaconess Hospital | Spokane, WA | not published | $135.90 – $567.04 |
| MENORAH MEDICAL CENTER | Overland Park, KS | not published | $209.78 – $209.78 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $209.78 – $209.78 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $209.78 – $209.78 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $209.78 – $209.78 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $381.42 – $381.42 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | not published | $381.42 – $381.42 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $381.42 – $381.42 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | not published | $273.35 – $273.35 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD, CO | not published | $209.78 – $381.42 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | not published | $209.78 – $381.42 |
| HCA HealthONE SKY RIDGE | Lone Tree, CO | not published | $209.78 – $381.42 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER, CO | not published | $209.78 – $381.42 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver, CO | not published | $209.78 – $209.78 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | not published | $209.78 – $381.42 |
| HCA HealthONE AURORA | Aurora, CO | not published | $209.78 – $381.42 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $63.14 – $209.78 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $63.14 – $209.78 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $63.14 – $209.78 |
| HCA HOUSTON NORTHWEST | SPRING, TX | not published | $63.14 – $209.78 |
| HCA HOUSTON PEARLAND | Pearland, TX | not published | $63.14 – $209.78 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | not published | $63.14 – $209.78 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $63.14 – $209.78 |
| TRICITIES HOSPITAL | HOPEWELL, VA | not published | $336.92 – $336.92 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | not published | $40.61 – $336.92 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | not published | $336.92 – $336.92 |
| LEWISGALE MEDICAL CENTER | ROANOKE, VA | not published | $381.42 – $381.42 |
| RESTON HOSPITAL CENTER | VIENNA, VA | not published | $40.61 – $336.92 |