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HCPCS Q4110
DISC - MTRX DERM PRIMTRX AG MESH20X25 - as described in hospitals' own price files.
92hospitals publishing a price
$3,993median cash price
$421median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Chi-St Vincent Infirmary | Little Rock, AR | $38.32 | - | $149 | $21.07 - $1,142 |
| Methodist Hospital Of Sacramento | Sacramento, CA | $39.22 | - | $162 | $37.26 - $698 |
| St. Joseph'S Medical Center Of Stockton | Stockton, CA | $47.31 | - | $174 | $39.06 - $10,148 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $58.14 | - | $160 | $39.06 - $20,295 |
| Mercy Hospital Of Folsom | Folsom, CA | $60.45 | - | $162 | $17.82 - $440 |
| George Washington Univ Hospital | Washington, DC | $206 | $65.41 | $515 | $61.70 - $69,212 |
| Chandler Regional Medical Center | Chandler, AZ | $75.17 | - | $271 | $32.96 - $432 |
| Healdsburg Hospital | Healdsburg, CA | $105 | - | $206 | - |
| Penn State Health Hampden Medical Center | Enola, PA | $108 | $124 | $343 | $88.25 - $520 |
| Penn State Health Holy Spirit Medical Center | Camp Hill, PA | $82.03 | $125 | $343 | $97.45 - $526 |
| Excela Health Westmoreland Regional Hospital | Greensburg, PA | $61.80 | $127 | $103 | $10.00 - $285 |
| Penn State Health St. Joseph | Reading, PA | $89.31 | $128 | $343 | $0.01 - $688 |
| Western Arizona Regional Medical Center | Bullhead City, AZ | $30.99 | $129 | $258 | $30.99 - $245 |
| Community Hospital Of San Bernardino | San Bernardino, CA | $130 | - | $335 | $39.00 - $17,645 |
| Milton S Hershey Medical Center | Hershey, PA | $103 | $133 | $311 | $55.92 - $710 |
| Lakewood Ranch Medical Center | Bradenton, FL | - | $155 | $636 | $41.66 - $34,344 |
| Northwest Health - Porter | Valparaiso, IN | $102 | $219 | $378 | $42.87 - $431 |
| Gadsden Regional Medical Center | Gadsden, AL | $40.68 | $236 | $339 | $39.06 - $1,525 |
| St. Patrick Hospital | Missoula, MT | $258 | - | $323 | - |
| Wilkes-Barre General Hospital | Wilkes-Barre, PA | $172 | $260 | $716 | $57.32 - $716 |
| Carlsbad Medical Center | Carlsbad, NM | $42.91 | $300 | $429 | $42.91 - $399 |
| Flowers Hospital | Dothan, AL | $60.10 | $300 | $401 | $39.06 - $401 |
| North Okaloosa Medical Center | Crestview, FL | $104 | $366 | $580 | $39.06 - $12,683 |
| Mat-Su Regional Medical Center | Palmer, AK | $188 | $477 | $628 | $67.32 - $603 |
| Merit Health Wesley | Hattiesburg, MS | $542 | $926 | $2,580 | $58.45 - $2,580 |
| Corona Regional Medical Center | Corona, CA | - | $1,156 | $4,076 | $40.86 - $3,668 |
| Allen County Regional Hospital | Iola, KS | $1,290 | - | $2,150 | $752 - $4,109 |
| San Francisco VA Medical Center | San Francisco, CA | $1,484 | - | $2,650 | - |
| San Mateo Medical Center | San Mateo, CA | $1,484 | - | $2,650 | - |
| Tri-City Medical Center | Oceanside, CA | $1,484 | - | $2,650 | - |
| Santa Clara Valley Medical Center | San Jose, CA | $1,484 | - | $2,650 | - |
| Sutter Medical Center, Sacramento | Sacramento, CA | $1,484 | - | $2,650 | - |
| Sutter Roseville Medical Center | Roseville, CA | $1,484 | - | $2,650 | - |
| Robert Wood Johnson University Hospital At Hamilton | Hamilton, NJ | $1,576 | - | $9,618 | $41.40 - $8,175 |
| Robert Wood Johnson University Hospital - Somerset | Somerville, NJ | $1,625 | - | $9,618 | $41.40 - $8,799 |
| Wellington Regional Medical Center | Wellington, FL | $10,879 | $1,679 | $27,198 | $77.01 - $51,651 |
| Spring Valley Hospital Medical Center | Las Vegas, NV | - | $1,892 | $15,798 | $40.70 - $12,638 |
| Henderson Hospital | Henderson, NV | - | $1,980 | $15,798 | $40.70 - $12,638 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $2,052 | - | $9,618 | $41.40 - $8,002 |
| Medstar Union Memorial Hospital | Baltimore, MD | $2,066 | $3,033 | $2,108 | $1,125 - $10,108 |
| Medstar Harbor Hospital | Baltimore, MD | $2,484 | $3,816 | $2,535 | $1,284 - $13,475 |
| Orange County Global Medical Center | Santa Ana, CA | $3,993 | - | $7,679 | - |
| Los Angeles General Medical Center | Los Angeles, CA | $3,993 | - | $7,679 | - |
| Lompoc Valley Medical Center | Lompoc, CA | $3,993 | - | $7,679 | - |
| Medstar Franklin Square Medical Center | Rosedale, MD | $2,750 | $4,055 | $2,806 | $1,490 - $13,574 |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $4,157 | - | $11,878 | - |
| Saint John'S Health Center | Santa Monica, CA | $4,157 | - | $11,878 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $4,157 | - | $11,878 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $4,157 | - | $11,878 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $4,157 | - | $11,878 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $4,157 | - | $11,878 | - |
| Medstar Montgomery Medical Center | Olney, MD | $2,727 | $4,189 | $2,782 | $1,391 - $15,197 |
| Providence Redwood Memorial Hospital | Fortuna, CA | $4,297 | - | $8,425 | - |
| Kadlec Regional Medical Center | Richland, WA | $4,525 | - | $6,464 | - |
| Medstar Good Samaritan Hospital | Baltimore, MD | $3,282 | $4,546 | $3,349 | $1,805 - $15,721 |
| Providence St. Mary Medical Center | Walla Walla, WA | $5,201 | - | $7,431 | - |
| Providence Valdez Medical Center | Valdez, AK | $5,451 | - | $6,989 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $5,635 | - | $7,513 | - |
| Providence Newberg Medical Center | Newberg, OR | $5,635 | - | $7,513 | - |
| Providence Seaside Hospital | Seaside, OR | $5,635 | - | $7,513 | - |
| Providence Medford Medical Center | Medford, OR | $5,635 | - | $7,513 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $5,635 | - | $7,513 | - |
| Providence St. Vincent Medical Center | Portland, OR | $5,635 | - | $7,513 | - |
| Providence Portland Medical Center | Portland, OR | $5,635 | - | $7,513 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $5,635 | - | $7,513 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $5,807 | - | $12,099 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $5,807 | - | $12,099 | - |
| Swedish Issaquah | Issaquah, WA | $5,807 | - | $12,099 | - |
| Providence Mount Carmel Hospital | Colville, WA | $5,820 | - | $8,315 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $5,820 | - | $8,315 | - |
| Medstar Southern Maryland Hospital Center | Clinton, MD | $3,810 | $5,853 | $3,888 | $1,892 - $22,404 |
| St. Mary'S Regional Medical Center | Enid, OK | - | $5,895 | $10,900 | $74.57 - $12,604 |
| Covenant Hospital Levelland | Levelland, TX | $5,952 | - | $14,171 | - |
| Covenant Hospital Plainview | Plainview, TX | $5,952 | - | $14,171 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $5,952 | - | $14,171 | - |
| Covenant Medical Center | Lubbock, TX | $5,952 | - | $14,171 | - |
| Medstar Saint Mary'S Hospital | Leonardtown, MD | $3,915 | $6,013 | $3,994 | $1,931 - $23,314 |
| Grace Surgical Hospital | Lubbock, TX | $6,044 | - | $14,392 | - |
| Providence Holy Family Hospital | Spokane, WA | $6,092 | - | $8,703 | - |
| Providence St. Joseph Hospital | Eureka, CA | $6,497 | - | $13,535 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $6,679 | - | $8,563 | - |
| St. Luke'S Patients Medical Center | Pasadena, TX | $6,704 | - | $19,154 | $24.72 - $14,366 |
| St. Mary Medical Center | Long Beach, CA | $6,828 | - | $14,226 | - |
| Providence Mission Hospital | Mission Viejo, CA | $6,828 | - | $14,226 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $7,325 | - | $15,260 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $7,326 | - | $14,364 | - |
| Providence Regional Medical Center Everett | Everett, WA | $8,288 | - | $15,939 | - |
| Providence Centralia Hospital | Centralia, WA | $8,661 | - | $16,656 | - |
| Petaluma Valley Hospital | Petaluma, CA | $8,678 | - | $17,016 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $8,678 | - | $17,016 | - |
| Providence St. Peter Hospital | Olympia, WA | $9,868 | - | $18,977 | - |
| Providence Alaska Medical Center | Anchorage, AK | $10,342 | - | $13,259 | - |
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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