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HCPCS Q4103

GRAFT BIOLOGICAL BURN RECTANGLE OASIS 8213300009 PORCINE MATRIX 7X10CM - as described in hospitals' own price files.

44hospitals publishing a price
$1,874median cash price
$1,032median typical insurance price
HospitalLocationCash priceTypical insuranceList priceNegotiated range
Mat-Su Regional Medical CenterPalmer, AK$13.80$34.96$46.00$4.93 - $44.16
Providence Regional Medical Center EverettEverett, WA$37.46-$72.04-
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA$1,355-$3,871-
Saint John'S Health CenterSanta Monica, CA$1,355-$3,871-
Providence Little Co Of Mary Med Ctr San PedroSan Pedro, CA$1,355-$3,871-
Providence Holy Cross Medical CenterMission Hills, CA$1,355-$3,871-
Providence Little Company Of Mary Med Ctr TorranceTorrance, CA$1,355-$3,871-
Providence Saint Joseph Medical CtrBurbank, CA$1,355-$3,871-
St. Patrick HospitalMissoula, MT$1,532-$1,915-
Healdsburg HospitalHealdsburg, CA$1,704-$3,342-
Providence Hood River Memorial HospitalHood River, OR$1,705-$2,274-
Providence Newberg Medical CenterNewberg, OR$1,705-$2,274-
Providence Seaside HospitalSeaside, OR$1,705-$2,274-
Providence Medford Medical CenterMedford, OR$1,705-$2,274-
Providence Milwaukie HospitalMilwaukie, OR$1,705-$2,274-
Providence St. Vincent Medical CenterPortland, OR$1,705-$2,274-
Providence Portland Medical CenterPortland, OR$1,705-$2,274-
Providence Willamette Falls Medical CenterOregon City, OR$1,705-$2,274-
Providence Mount Carmel HospitalColville, WA$1,820-$2,600-
Providence St. Joseph HospitalChewelah, WA$1,820-$2,600-
Kadlec Regional Medical CenterRichland, WA$1,871-$2,673-
Providence St. Mary Medical CenterWalla Walla, WA$1,877-$2,681-
Providence Holy Family HospitalSpokane, WA$1,907-$2,725-
Swedish Edmonds HospitalEdmonds, WA$1,976-$4,116-
Swedish Medical Center / Cherry HillSeattle, WA$1,976-$4,116-
Swedish IssaquahIssaquah, WA$1,976-$4,116-
Crestwood Medical CenterHuntsville, AL$522$2,029$2,898$12.49 - $2,898
Providence Redwood Memorial HospitalFortuna, CA$2,199-$4,312-
Covenant Hospital LevellandLevelland, TX$2,225-$5,298-
Covenant Hospital PlainviewPlainview, TX$2,225-$5,298-
Covenant Health Hobbs HospitalHobbs, NM$2,225-$5,298-
Covenant Medical CenterLubbock, TX$2,225-$5,298-
Providence Valdez Medical CenterValdez, AK$2,250-$2,885-
Grace Surgical HospitalLubbock, TX$2,252-$5,363-
St. Mary Medical CenterLong Beach, CA$2,324-$4,841-
Providence Queen Of The Valley Medical CenterNapa, CA$2,490-$4,882-
Providence St. Jude Medical CenterFullerton, CA$2,566-$5,347-
Petaluma Valley HospitalPetaluma, CA$2,623-$5,143-
Providence Santa Rosa Memorial HospitalSanta Rosa, CA$2,623-$5,143-
Providence St. Joseph HospitalEureka, CA$2,660-$5,542-
Providence Kodiak Island Medical CtrKodiak, AK$2,823-$3,619-
Providence Centralia HospitalCentralia, WA$3,115-$5,991-
Providence St. Peter HospitalOlympia, WA$3,115-$5,991-
Providence Alaska Medical CenterAnchorage, AK$4,450-$5,705-

Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.

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