Surgigraft, 1 sq cm cost in Indiana
Surgigraft, 1 sq cm · HCPCS Q4183
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City | not published | $131.66 – $197.50 | 6 |
| Parkview Ortho Hospital | Fort Wayne | not published | $131.66 – $197.50 | 5 |
| Parkview Noble Hospital | Kendallville | not published | $131.66 – $197.50 | 6 |
| Parkview Wabash Hospital | Wabash | not published | $134.00 – $209.78 | 2 |
| Parkview LaGrange Hospital | Lagrange | not published | $134.00 – $209.78 | 2 |
| Parkview Huntington Hospital | Huntington | not published | $131.66 – $197.50 | 6 |
| Parkview DeKalb Hospital | Auburn | not published | $131.66 – $197.50 | 6 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne | not published | $131.66 – $197.50 | 5 |