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 |
|---|---|---|---|
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG, VA | not published | $336.92 – $336.92 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI, VA | not published | $336.92 – $336.92 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR, VA | not published | $336.92 – $336.92 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | not published | $19.76 – $336.92 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $23.25 – $178.41 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $32.22 – $336.92 |
| STONECREST MEDICAL CENTER | Smyrna, TN | not published | $32.22 – $336.92 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $32.22 – $336.92 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | not published | $32.22 – $336.92 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $32.22 – $336.92 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $32.22 – $336.92 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN, KY | not published | $209.78 – $209.78 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $157.87 – $209.78 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $157.87 – $209.78 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $157.87 – $209.78 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | not published | $157.87 – $209.78 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $157.87 – $209.78 |
| Kettering Health Troy | Troy, OH | not published | $35.48 – $327.66 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $35.48 – $331.47 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $35.48 – $327.66 |
| Soin Medical Center | Beaver Creek, OH | not published | $35.48 – $329.42 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $35.48 – $329.42 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $35.48 – $331.47 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $35.48 – $329.42 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $148.46 – $248.89 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $57.82 – $126.93 |
| Gouverneur Hospital | Gouverneur, NY | not published | $57.82 – $57.82 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | not published | $23.50 – $57.82 |
| Newark Wayne Community Hospital | Newark, NY | not published | $26.94 – $120.89 |
| The Unity Hospital of Rochester | Rochester, NY | not published | $26.94 – $57.82 |
| Rochester General Hospital | Rochester, NY | not published | $26.94 – $66.59 |
| MultiCare Allenmore Hospital | Tacoma, WA | not published | $142.33 – $597.36 |
| MultiCare Valley Hospital | Spokane Valley, WA | not published | $139.98 – $565.77 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | not published | $146.60 – $999.96 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | not published | $142.33 – $597.36 |
| MultiCare Covington Medical Center | Covington, WA | not published | $141.62 – $597.36 |
| MultiCare Capital Medical Center | Olympia, WA | not published | $141.22 – $643.84 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $157.87 – $209.78 |
| MultiCare Auburn Medical Center | Auburn, WA | not published | $141.62 – $597.36 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $61.31 – $243.77 |
| Houston Methodist Continuing Care Hospital | Katy, TX | not published | $137.52 – $137.52 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $61.31 – $250.02 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $61.31 – $243.77 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $61.31 – $243.77 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $61.31 – $243.77 |
| Houston Methodist West Hospital | Houston, TX | not published | $61.31 – $500.05 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $61.31 – $243.77 |
| Houston Methodist Hospital | Houston, TX | not published | $61.31 – $500.05 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | not published | $93.99 – $250.44 |
| Texas Health Hospital Mansfield | Mansfield, TX | not published | $93.99 – $250.02 |