Revitalon 1 square cm cost at US hospitals
Revitalon 1 square cm · HCPCS Q4157
$1.00
lowest cash price
$1.00
national median
$1.00
highest cash price
38
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $1.00–$1.00 — the variation is the story.
Median cash price over time
May 1, 2026 ($1.00) → Sep 1, 2026 ($1.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| California | 13 | not published by hospital | not published by hospital | not published by hospital |
| Colorado | 8 | $1.00 | $1.00 | $1.00 |
| Florida | 45 | $1.00 | $1.00 | $1.00 |
| Georgia | 11 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 11 | not published by hospital | not published by hospital | not published by hospital |
| Indiana | 8 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 11 | not published by hospital | not published by hospital | not published by hospital |
| Kansas | 2 | not published by hospital | not published by hospital | not published by hospital |
| Kentucky | 1 | not published by hospital | not published by hospital | not published by hospital |
| 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 | 10 | not published by hospital | not published by hospital | not published by hospital |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 4 | not published by hospital | not published by hospital | not published by hospital |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 14 | not published by hospital | not published by hospital | not published by hospital |
| New York | 13 | not published by hospital | not published by hospital | not published by hospital |
| North Carolina | 2 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 1 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 35 | not published by hospital | not published by hospital | not published by hospital |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| South Carolina | 8 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 1 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 17 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 47 | not published by hospital | not published by hospital | not published by hospital |
| Virginia | 10 | not published by hospital | not published by hospital | not published by hospital |
| Washington | 18 | not published by hospital | not published by hospital | not published by hospital |
| Wisconsin | 18 | not published by hospital | not published by hospital | not published by hospital |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| MUSC Health Florence Medical Center | Florence, SC | not published | $115.74 – $267.20 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $120.29 – $267.20 |
| MUSC Health Main Campus - Charleston | Charleston, SC | not published | $115.74 – $436.24 |
| MUSC Health Black River Medical Center | Cades, SC | not published | $115.74 – $267.20 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $148.46 – $248.89 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $108.80 – $126.93 |
| Gouverneur Hospital | Gouverneur, NY | not published | $209.56 – $209.56 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | not published | $103.97 – $209.56 |
| Newark Wayne Community Hospital | Newark, NY | not published | $120.89 – $240.99 |
| The Unity Hospital of Rochester | Rochester, NY | not published | $163.51 – $209.56 |
| Rochester General Hospital | Rochester, NY | not published | $163.51 – $240.99 |
| 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 | $209.78 – $1,077.86 |
| MultiCare Auburn Medical Center | Auburn, WA | not published | $141.62 – $597.36 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $125.01 – $243.77 |
| Houston Methodist Continuing Care Hospital | Katy, TX | not published | $1,200.15 – $1,200.15 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $125.01 – $250.02 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $125.01 – $243.77 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $125.01 – $243.77 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $125.01 – $243.77 |
| Houston Methodist West Hospital | Houston, TX | not published | $125.01 – $500.05 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $125.01 – $243.77 |
| Houston Methodist Hospital | Houston, TX | not published | $125.01 – $500.05 |
| OSF Saint Anthony's Health Center | Alton, IL | not published | $133.36 – $136.02 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | not published | $131.66 – $280.81 |
| Parkview Ortho Hospital | Fort Wayne, IN | not published | $131.66 – $280.81 |
| Parkview Noble Hospital | Kendallville, IN | not published | $131.66 – $280.81 |
| Parkview Wabash Hospital | Wabash, IN | not published | $209.78 – $280.81 |
| Parkview LaGrange Hospital | Lagrange, IN | not published | $209.78 – $280.81 |
| Parkview Huntington Hospital | Huntington, IN | not published | $131.66 – $280.81 |
| Parkview DeKalb Hospital | Auburn, IN | not published | $131.66 – $280.81 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | not published | $131.66 – $280.81 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $112.91 – $118.56 |
| Parkwest Medical Center | Knoxville, TN | not published | $112.91 – $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 | $209.78 – $1,077.86 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $112.91 – $118.56 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $112.91 – $118.56 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $202.90 – $202.90 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $120.92 – $126.97 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $202.90 – $209.56 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $171.84 – $202.90 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $202.90 – $202.90 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $202.90 – $209.56 |