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 |
|---|---|---|---|
| Aurora West Allis Medical Center | West Allis, WI | not published | $167.65 – $267.20 |
| Aurora Medical Center Washington County | Hartford, WI | not published | $167.65 – $267.20 |
| Aurora Medical Center Summit | Summit, WI | not published | $167.65 – $267.20 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | not published | $167.65 – $267.20 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $167.65 – $267.20 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | not published | $167.65 – $267.20 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | not published | $167.65 – $267.20 |
| Aurora Medical Center Kenosha | Kenosha, WI | not published | $167.65 – $267.20 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | not published | $167.65 – $267.20 |
| Aurora Medical Center Grafton | Grafton, WI | not published | $167.65 – $267.20 |
| Aurora Medical Center Burlington | Burlington, WI | not published | $167.65 – $267.20 |
| Aurora Medical Center Bay Area | Marinette, WI | not published | $167.65 – $267.20 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $121.26 – $131.89 |
| Covenant Medical Center | Lubbock, TX | not published | $125.01 – $131.89 |
| Aurora Baycare Medical Center | Green Bay, WI | not published | $167.65 – $267.20 |
| South Brooklyn Health | Brooklyn, NY | not published | $128.93 – $310.68 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $273.35 – $273.35 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | not published | $159.67 – $213.05 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $124.00 – $223.19 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $178.13 – $391.70 |
| Dublin Methodist Hospital | Dublin, OH | not published | $119.99 – $549.86 |
| Corewell Health Gerber | Fremont, MI | not published | $178.13 – $178.13 |
| Corewell Health Big Rapids | Big Rapids, MI | not published | $124.00 – $223.19 |
| Franklin Memorial Hospital | Farmington, ME | not published | $178.13 – $403.10 |
| Wellstar MCG Health | Augusta, GA | not published | $109.05 – $339.52 |
| Wellstar Kennestone Hospital | Marietta, GA | not published | $126.40 – $233.84 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $119.69 – $333.26 |
| Wellstar Douglas Hospital | Douglasville, GA | not published | $125.26 – $231.74 |
| Wellstar Cobb Hospital | Austell, GA | not published | $126.40 – $233.84 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $173.13 – $215.07 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | not published | $159.67 – $222.66 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $173.13 – $215.07 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $173.13 – $215.07 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $273.35 – $273.35 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $173.13 – $215.07 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $173.13 – $173.13 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $173.13 – $215.07 |
| Providence Holy Family Hospital | Spokane, WA | not published | $138.67 – $256.55 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | not published | $141.72 – $262.18 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $273.35 – $273.35 |
| Jacobi Medical Center | Bronx, NY | not published | $128.93 – $310.68 |
| Providence Centralia Hospital | Centralia, WA | not published | $144.11 – $266.60 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $128.93 – $310.68 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | not published | $159.67 – $213.76 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | not published | $171.69 – $213.76 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | not published | $117.73 – $211.92 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | not published | $552.40 – $552.40 |
| Riverside Methodist Hospital | Columbus, OH | not published | $119.99 – $549.86 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | not published | $92.32 – $552.40 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $293.80 – $293.80 |