Price Checker / CPT Q4105
How much does Integra Drt Or Omnigraft cost?
CPT Q4105 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 81x the fair price — among the most extreme markups. Dispute this.
Fair price
$190–$380
What this should cost
With insurance
~$5,300
Typical out-of-pocket
Overcharged if over
$480
Push back above this
The average hospital charge of $23,484 is $23,194 over the fair price (about 81x the fair rate).
What hospitals charge for Integra Drt Or Omnigraft
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| ST FRANCIS MEDICAL CENTER BRECKENRIDGE, VA | $57,772 | $34,663 | 45297% |
| FAIRFIELD HOSPITAL , OH | $49,309 | $29,585 | 38647% |
| MedStar Montgomery Medical Center OLNEY, MD | $43,164 | $42,301 | 33818% |
| MedStar Union Memorial Hospital BALTIMORE, MD | $42,476 | $41,626 | 33277% |
| Fauquier Health , VA | $28,028 | — | 21924% |
| Inova Alexandria Hospital ALEXANDRIA, VA | $22,552 | $11,276 | 17621% |
| Inova Fair Oaks Hospital FAIRFAX, VA | $22,552 | $11,276 | 17621% |
| Inova Fairfax Hospital FALLS CHURCH, VA | $22,552 | $11,276 | 17621% |
| Inova Loudoun Hospital LEESBURG, VA | $22,552 | $11,276 | 17621% |
| Inova Mount Vernon Hospital ALEXANDRIA, VA | $22,552 | $11,276 | 17621% |
| MedStar Good Samaritan Hospital BALTIMORE, MD | $20,878 | $20,461 | 16306% |
| "St. Luke's Jerome Standard Charges" Jerome, ID | $6,971 | $6,971 | 5378% |
| "St. Luke's Magic Valley Standard Charges" , ID | $6,971 | $6,971 | 5378% |
| "St. Luke's Nampa Standard Charges" , ID | $6,971 | $6,971 | 5378% |
| Jackson Hospital MARIANNA, AL | $265 | $50 | 108% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Integra Drt Or Omnigraft
CPT code Q4105 refers to integra drt or omnigraft (billing description: "Integra drt or omnigraft"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $127 in a facility (hospital or surgery center) and $127 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.