NO USAGE - GRAFT SKIN 12X5CM ALLONO USAGE - GRAFT NON MESHED ACELLULAR DERMIS ALLODERM - as described in hospitals' own price files.
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|
| Saint John'S Health Center | Santa Monica, CA | $45.96 | - | $131 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $45.96 | - | $131 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $45.96 | - | $131 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $45.96 | - | $131 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $45.96 | - | $131 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $61.43 | - | $81.90 | - |
| Providence Seaside Hospital | Seaside, OR | $61.43 | - | $81.90 | - |
| Providence Medford Medical Center | Medford, OR | $61.43 | - | $81.90 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $61.43 | - | $81.90 | - |
| Providence St. Vincent Medical Center | Portland, OR | $61.43 | - | $81.90 | - |
| Providence Portland Medical Center | Portland, OR | $61.43 | - | $81.90 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $61.43 | - | $81.90 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $71.14 | - | $148 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $71.14 | - | $148 | - |
| Swedish Issaquah | Issaquah, WA | $71.14 | - | $148 | - |
| St. Patrick Hospital | Missoula, MT | $89.44 | - | $112 | - |
| Mat-Su Regional Medical Center | Palmer, AK | $31.80 | $94.50 | $106 | $11.36 - $124 |
| Providence Centralia Hospital | Centralia, WA | $108 | - | $208 | - |
| Providence St. Peter Hospital | Olympia, WA | $108 | - | $208 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $109 | - | $156 | - |
| Providence Valdez Medical Center | Valdez, AK | $113 | - | $145 | - |
| Providence Regional Medical Center Everett | Everett, WA | $115 | - | $221 | - |
| Crestwood Medical Center | Huntsville, AL | $156 | $115 | $867 | $29.07 - $867 |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $118 | - | $151 | - |
| Providence Mount Carmel Hospital | Colville, WA | $173 | - | $247 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $173 | - | $247 | - |
| Providence Holy Family Hospital | Spokane, WA | $184 | - | $262 | - |
| Providence Alaska Medical Center | Anchorage, AK | $193 | - | $247 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $217 | - | $620 | - |
| Grandview Medical Center | Birmingham, AL | $65.85 | $263 | $439 | $65.85 - $439 |
| Providence Newberg Medical Center | Newberg, OR | $272 | - | $363 | - |
| Kadlec Regional Medical Center | Richland, WA | $326 | - | $466 | - |
| Flowers Hospital | Dothan, AL | $65.78 | $329 | $439 | $31.11 - $439 |
| Healdsburg Hospital | Healdsburg, CA | $348 | - | $682 | - |
| St. Mary Medical Center | Long Beach, CA | $391 | - | $815 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $416 | - | $816 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $432 | - | $899 | - |
| Providence St. Joseph Hospital | Eureka, CA | $471 | - | $982 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $509 | - | $998 | - |
| Petaluma Valley Hospital | Petaluma, CA | $538 | - | $1,054 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $538 | - | $1,054 | - |
| Covenant Hospital Levelland | Levelland, TX | $551 | - | $1,312 | - |
| Covenant Hospital Plainview | Plainview, TX | $551 | - | $1,312 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $551 | - | $1,312 | - |
| Covenant Medical Center | Lubbock, TX | $551 | - | $1,312 | - |
| Grace Surgical Hospital | Lubbock, TX | $555 | - | $1,322 | - |
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.