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 |
|---|---|---|---|
| OSF Saint Francis Medical Center | Peoria, IL | not published | $37.56 – $453.36 |
| OSF Saint Anthony Medical Center | Rockford, IL | not published | $37.56 – $466.75 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | not published | $109.34 – $197.50 |
| Parkview Ortho Hospital | Fort Wayne, IN | not published | $52.17 – $197.50 |
| Parkview Noble Hospital | Kendallville, IN | not published | $109.34 – $197.50 |
| Parkview Wabash Hospital | Wabash, IN | not published | $109.34 – $209.78 |
| Parkview Logansport Hospital | Logansport, IN | not published | $131.66 – $263.33 |
| Parkview LaGrange Hospital | Lagrange, IN | not published | $109.34 – $209.78 |
| Parkview Huntington Hospital | Huntington, IN | not published | $109.34 – $197.50 |
| Parkview DeKalb Hospital | Auburn, IN | not published | $109.34 – $197.50 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | not published | $52.17 – $197.50 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $112.91 – $118.56 |
| Parkwest Medical Center | Knoxville, TN | not published | $30.98 – $118.56 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $112.91 – $118.56 |
| LeConte Medical Center | Sevierville, TN | not published | $120.92 – $126.97 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $157.87 – $209.78 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $112.91 – $118.56 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $23.25 – $181.19 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $120.92 – $126.97 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $11.87 – $202.10 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $23.25 – $94.99 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $40.18 – $44.20 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $21.36 – $115.69 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $11.87 – $62.85 |
| Claiborne Medical Center | Tazewell, TN | not published | $120.92 – $126.97 |
| Roane County Medical Center | Harriman, TN | not published | $112.91 – $118.56 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $23.25 – $128.23 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $21.36 – $137.52 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $21.36 – $147.74 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $23.25 – $204.89 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $23.25 – $178.41 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $23.25 – $79.45 |
| CHRISTUS Trinity Mother Frances Hospital - South Tyler | Tyler, TX | not published | $23.25 – $79.45 |
| CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs | Sulphur Springs, TX | not published | $128.69 – $128.69 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $23.25 – $79.45 |
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler, TX | not published | $23.25 – $79.45 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $23.25 – $94.99 |
| SSM Health Ripon Community Hospital | Ripon, WI | not published | $25.58 – $82.43 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $23.25 – $69.74 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $28.83 – $233.39 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | not published | $27.10 – $27.10 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | not published | $58.81 – $211.92 |
| south pointe hospital | Warrensville Heights, OH | not published | $24.13 – $129.51 |
| mercy hospital | Canton, OH | not published | $24.13 – $129.51 |
| medina hospital | Medina, OH | not published | $24.13 – $206.39 |
| indian river hospital | Vero Beach, FL | not published | $129.95 – $142.95 |
| Providence St Joseph Medical Center | Polson, MT | not published | $58.70 – $80.53 |
| marymount hospital | Garfield Heights, OH | not published | $24.13 – $254.88 |
| martin north hospital | Stuart, FL | not published | $129.95 – $142.95 |
| lodi hospital | Lodi, OH | not published | $127.14 – $127.14 |