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 |
|---|---|---|---|
| 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 | $202.90 – $202.90 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $202.90 – $202.90 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $202.90 – $202.90 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $202.90 – $202.90 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $202.90 – $202.90 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $202.90 – $202.90 |
| CHRISTUS Trinity Mother Frances Hospital - South Tyler | Tyler, TX | not published | $202.90 – $202.90 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $202.90 – $202.90 |
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler, TX | not published | $202.90 – $202.90 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $171.84 – $202.90 |
| Kadlec Regional Medical Center | Richland, WA | not published | $138.67 – $256.55 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $141.72 – $262.18 |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $160.06 – $436.24 |
| SSM Health Ripon Community Hospital | Ripon, WI | not published | $552.40 – $552.40 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $120.88 – $552.40 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | not published | $159.67 – $219.10 |
| Providence St Joseph Hospital Orange | Orange, CA | not published | $136.05 – $436.24 |
| Doctors Hospital | Columbus, OH | not published | $122.62 – $549.86 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $119.69 – $333.26 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | not published | $168.70 – $168.70 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | not published | $117.73 – $211.92 |
| south pointe hospital | Warrensville Heights, OH | not published | $117.73 – $436.24 |
| mercy hospital | Canton, OH | not published | $117.73 – $436.24 |
| medina hospital | Medina, OH | not published | $117.73 – $436.24 |
| indian river hospital | Vero Beach, FL | not published | $129.95 – $142.95 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | not published | $136.05 – $436.24 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | not published | $173.16 – $436.24 |
| Monmouth Medical Center | Long Branch, NJ | not published | $159.67 – $219.10 |
| Jersey City Medical Center | Jersey City, NJ | not published | $159.67 – $213.76 |
| marymount hospital | Garfield Heights, OH | not published | $117.73 – $436.24 |
| martin north hospital | Stuart, FL | not published | $129.95 – $142.95 |
| lodi hospital | Lodi, OH | not published | $127.14 – $127.14 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | not published | $133.36 – $216.04 |
| Adventhealth Redmond | Rome, GA | not published | $129.34 – $359.56 |
| St Jude Medical Center | Fullerton, CA | not published | $136.05 – $436.24 |
| Providence Saint Joseph Medical Center | Burbank, CA | not published | $160.06 – $436.24 |
| hillcrest hospital | Mayfield Heights, OH | not published | $117.73 – $436.24 |
| lutheran hospital | Cleveland, OH | not published | $117.73 – $436.24 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | not published | $49.54 – $202.90 |
| fairview hospital | Cleveland, OH | not published | $117.73 – $436.24 |
| euclid hospital | Euclid, OH | not published | $117.73 – $436.24 |
| cleveland clinic florida weston hospital | Weston, FL | not published | $129.95 – $142.95 |
| avon hospital | Avon, OH | not published | $117.73 – $436.24 |
| akron general | Akron, OH | not published | $117.73 – $436.24 |
| cleveland clinic main campus | Cleveland, OH | not published | $117.73 – $436.24 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $1.00 – $1.00 |
| Atrium Health Mercy | Charlotte, NC | not published | $168.70 – $168.70 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $1.00 – $1.00 |