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 |
|---|---|---|---|
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $1.02 – $1.02 |
| Covenant Children's Hospital | Lubbock, TX | not published | $771.02 – $771.02 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $159.67 – $219.10 |
| Swedish Issaquah | Issaquah, WA | not published | $144.51 – $267.34 |
| Providence St Joseph Hospital Eureka | Eureka, CA | not published | $160.06 – $436.24 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | not published | $49.54 – $202.90 |
| Queen of The Valley Medical Center | Napa, CA | not published | $176.69 – $436.24 |
| Clara Maass Medical Center | Belleville, NJ | not published | $159.67 – $219.10 |
| Community Medical Center | Toms River, NJ | not published | $159.67 – $213.76 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | not published | $49.54 – $202.90 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $160.06 – $436.24 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | not published | $49.54 – $202.90 |
| Grant Medical Center | Columbus, OH | not published | $119.99 – $549.86 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | not published | $49.54 – $202.90 |
| Berger Hospital | Circleville, OH | not published | $119.99 – $119.99 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | not published | $49.54 – $202.90 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | not published | $49.54 – $202.90 |
| UnityPoint Health - Meriter Hospital | Madison, WI | not published | $202.90 – $202.90 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | not published | $49.54 – $202.90 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $160.06 – $436.24 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | not published | $49.54 – $202.90 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | not published | $49.54 – $202.90 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $334.79 – $685.80 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | not published | $49.54 – $202.90 |
| Providence Holy Cross Medical Center | Mission Hills, CA | not published | $160.06 – $436.24 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $119.69 – $333.26 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | not published | $49.54 – $202.90 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $356.26 – $537.69 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $334.79 – $685.80 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | not published | $144.11 – $266.60 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | not published | $138.67 – $256.55 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $209.78 – $1,077.86 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $173.93 – $1,278.32 |
| Lincoln Health | Damariscotta, ME | not published | $178.13 – $403.10 |
| Wellstar Windy Hill Hospital | Marietta, GA | not published | $339.52 – $339.52 |
| Stephens Memorial Hospital | Norway, ME | not published | $178.13 – $403.10 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $209.78 – $1,077.86 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $209.78 – $1,077.86 |
| North Central Bronx | Bronx, NY | not published | $128.93 – $310.68 |
| Wellstar West Georgia Medical Center | Lagrange, GA | not published | $122.46 – $240.01 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | not published | $339.52 – $339.52 |
| Wellstar Spalding Regional Hospital | Griffin, GA | not published | $124.82 – $244.65 |
| Wellstar Paulding Hospital | Hiram, GA | not published | $126.40 – $233.84 |
| Wellstar North Fulton Hospital | Roswell, GA | not published | $126.40 – $233.84 |
| Corewell Health Troy | Troy, MI | not published | $115.32 – $288.94 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $115.37 – $290.33 |
| Corewell Health Zeeland | Zeeland, MI | not published | $124.00 – $223.19 |
| Corewell Health Greenville | Greenville, MI | not published | $124.00 – $223.19 |
| Corewell Health Reed City | Po Box 75, MI | not published | $178.13 – $178.13 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $124.00 – $223.19 |