Allograft allowrap 4x4cm dry 16sqcm cost at US hospitals

ALLOGRAFT ALLOWRAP 4X4CM DRY 16SQCM · HCPCS Q4150

$206.87

lowest cash price

$5,399.16

national median

$31,673.54

highest cash price

276

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $206.87–$31,673.54 — the variation is the story.

Median cash price over time

Nov 1, 2025 ($7,449.60) → Sep 1, 2026 ($13,687.41)

By state

State Hospitals Lowest cash Median Highest
Alaska 4 $5,225.56 $6,402.86 $9,914.11
Arizona 3 $6,551.30 $11,244.17 $12,249.75
California 58 $3,985.24 $5,814.48 $16,673.25
Colorado 12 $908.52 $908.52 $908.52
Florida 20 $958.51 $1,216.90 $15,353.55
Georgia 11 not published by hospital not published by hospital not published by hospital
Illinois 19 $970.98 $1,592.49 $31,673.54
Indiana 11 $5,796.00 $13,687.41 $13,687.50
Iowa 27 $424.66 $424.66 $2,535.75
Kansas 2 not published by hospital not published by hospital not published by hospital
Kentucky 8 $635.04 $635.04 $15,750.55
Louisiana 6 not published by hospital not published by hospital not published by hospital
Maine 7 not published by hospital not published by hospital not published by hospital
Michigan 10 not published by hospital not published by hospital not published by hospital
Minnesota 2 not published by hospital not published by hospital not published by hospital
Missouri 14 $430.20 $3,104.06 $3,104.06
Montana 2 $3,919.04 $3,919.04 $3,919.04
Nebraska 12 $2,173.50 $2,380.50 $4,398.75
Nevada 2 $2,981.93 $2,981.93 $3,301.95
New Hampshire 1 not published by hospital not published by hospital not published by hospital
New Jersey 11 $206.87 $206.87 $235.08
New Mexico 1 $5,705.38 $5,705.38 $5,705.38
New York 12 not published by hospital not published by hospital not published by hospital
North Carolina 12 $849.50 $849.50 $849.50
North Dakota 1 not published by hospital not published by hospital not published by hospital
Ohio 65 $302.15 $13,768.09 $19,741.24
Oklahoma 3 not published by hospital not published by hospital not published by hospital
Oregon 10 $5,401.92 $5,401.92 $8,161.91
Pennsylvania 1 $7,558.80 $7,558.80 $7,558.80
South Carolina 10 $31,149.36 $31,149.36 $31,149.36
South Dakota 1 not published by hospital not published by hospital not published by hospital
Tennessee 18 $474.06 $1,084.00 $2,454.00
Texas 74 $617.65 $617.65 $10,136.39
Virginia 28 $230.75 $10,615.00 $25,985.12
Washington 23 $4,337.42 $5,579.34 $9,459.72
West Virginia 2 $635.04 $635.04 $4,737.17
Wisconsin 21 not published by hospital not published by hospital not published by hospital

All hospitals

Hospital Location Cash price Negotiated range
SSM Health Waupun Memorial Hospital Waupun, WI not published $91.04 – $236.05
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac, WI not published $91.04 – $237.56
Riverview Medical Center Red Bank, NJ not published $72.13 – $101.15
Jersey Shore University Medical Center Neptune City, NJ not published $72.13 – $101.15
JFK Johnson Rehabilitation Institute (JRI) Edison, NJ not published $72.13 – $103.28
Raritan Bay Medical Center Perth Amboy, NJ not published $72.13 – $103.28
Corewell Health Pennock Hastings, MI not published $88.06 – $88.06
Ocean University Medical Center Brick, NJ not published $72.13 – $101.15
Hackensack University Medical Center Hackensack, NJ not published $103.28 – $103.28
Bayshore Medical Center Holmdel, NJ not published $72.13 – $72.13
Advocate Trinity Hospital Chicago, IL not published $130.35 – $267.02
Mid Coast Hospital Brunswick, ME not published $77.66 – $171.39
Harlem Hospital Center New York, NY not published $78.17 – $310.68
Waldo County General Hospital Belfast, ME not published $77.66 – $171.39
Spring Harbor Hospital Westbrook, ME not published $77.66 – $150.35
Pen Bay Medical Center Rockport, ME not published $77.66 – $171.39
Metropolitan Hospital Center New York, NY not published $78.17 – $310.68
Lincoln Medical Center Bronx, NY not published $78.17 – $310.68
Advocate South Suburban Hospital Hazel Crest, IL not published $130.35 – $267.02
Advocate Childrens Hospital - Park Ridge Park Ridge, IL not published $130.35 – $267.02
Advocate Illinois Masonic Medical Center Chicago, IL not published $130.35 – $267.02
Sanford USD Medical Center Sioux Falls, SD not published $1.00 – $1.00
SSM Health Saint Louis University Hospital Saint Louis, MO not published $85.78 – $149.57
Van Wert Hospital Van Wert, OH not published $127.79 – $130.34

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