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.

Most expensive published cash price

$8,977.00

Central Medical Center — Seattle, WA

Median 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
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook, IL not published $37.53 – $216.04
Adventhealth Redmond Rome, GA not published $23.85 – $359.56
Adventhealth Central Texas Killeen, TX not published $125.01 – $200.02
HCA FLORIDA NORTHSIDE HOSPITAL ST PETERSBURG, FL not published $22.55 – $273.35
hillcrest hospital Mayfield Heights, OH not published $24.13 – $323.77
UnityPoint Health - Trinity Bettendorf Bettendorf, IA not published $22.17 – $35.34
lutheran hospital Cleveland, OH not published $24.13 – $129.51
fairview hospital Cleveland, OH not published $24.13 – $323.77
euclid hospital Euclid, OH not published $24.13 – $129.51
cleveland clinic florida weston hospital Weston, FL not published $22.14 – $142.95
avon hospital Avon, OH not published $24.13 – $129.51
akron general Akron, OH not published $26.40 – $303.05
cleveland clinic main campus Cleveland, OH not published $26.40 – $129.51
Atrium Health Mercy Charlotte, NC not published $27.10 – $27.10
Sanford Worthington Medical Center Worthington, MN not published $1.00 – $1.00
Sanford Bemidji Medical Center Bemidji, MN not published $1.02 – $1.02
Uchicago Medicine Adventhealth La Grange La Grange, IL not published $50.84 – $216.04
UnityPoint Health - St. Luke's Hospital Cedar Rapids, IA not published $22.17 – $35.34
UnityPoint Health - Trinity Regional Medical Center Fort Dodge, IA not published $22.17 – $35.34
UnityPoint Health - Trinity Muscatine Muscatine, IA not published $22.17 – $35.34
UnityPoint Health - Trinity Moline Rock Island, IL not published $22.17 – $35.34
UnityPoint Health - St. Lukes Downtown Sioux City, IA not published $22.17 – $35.34
UnityPoint Health - Meriter Hospital Madison, WI not published $25.17 – $35.34
UnityPoint Health - Marshalltown Marshalltown, IA not published $22.17 – $35.34
UnityPoint Health - Jones Regional Medical Center Anamosa, IA not published $22.17 – $35.34
SSM Health St. Mary's Hospital - Madison Madison, WI not published $33.71 – $120.88
UnityPoint Health - Iowa Lutheran Hospital Des Moines, IA not published $22.17 – $35.34
Advocate Good Samaritan Hospital Downers Grove, IL not published $41.53 – $85.07
UnityPoint Health - Grinnell Regional Medical Center Grinnell, IA not published $22.17 – $35.34
SSM Health St. Anthony Hospital - Midwest Midwest City, OK not published $26.51 – $233.39
Palisades Medical Center North Bergen, NJ not published $22.18 – $33.71
UnityPoint Health - Finley Hospital Dubuque, IA not published $22.17 – $35.34
Advocate Condell Medical Center Libertyville, IL not published $38.18 – $69.36
Advocate Christ Medical Center Oak Lawn, IL not published $41.53 – $85.07
Uchicago Medicine Adventhealth Hinsdale Hinsdale, IL not published $50.84 – $216.04
MEDICAL CITY ARLINGTON HOSPITAL RED OAK, TX not published $157.87 – $209.78
Lincoln Health Damariscotta, ME not published $24.33 – $59.85
Wellstar Windy Hill Hospital Marietta, GA not published $57.71 – $57.71
Stephens Memorial Hospital Norway, ME not published $23.96 – $59.85
MEDICAL CITY WEATHERFORD HOSPITAL Weatherford, TX not published $23.25 – $256.03
RESEARCH MEDICAL CENTER Kansas City, MO not published $209.78 – $209.78
Sentara Northern Virginia Medical Center Woodbridge, VA not published $34.44 – $127.49
MEDICAL CITY MCKINNEY HOSPITAL McKinney, TX not published $22.55 – $209.78
RESEARCH PSYCHIATRIC CENTER Kansas City, MO not published $23.25 – $23.25
North Central Bronx Bronx, NY not published $25.84 – $310.68
Wellstar West Georgia Medical Center Lagrange, GA not published $57.71 – $240.01
Wellstar Sylvan Grove Hospital Jackson, GA not published $57.71 – $57.71
Wellstar Spalding Regional Hospital Griffin, GA not published $57.71 – $244.65
Wellstar Paulding Hospital Hiram, GA not published $57.71 – $233.84
Wellstar North Fulton Hospital Roswell, GA not published $57.71 – $233.84

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