healthcosts.net
Allograft graftjacket 2x12cm-q4107-cost per sq cm cost at US hospitals
ALLOGRAFT GRAFTJACKET 2X12CM-Q4107-COST PER SQ CM · HCPCS Q4107
$3,402.60
lowest cash price
$6,367.50
national median
$6,367.50
highest cash price
12
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $3,402.60–$6,367.50 — the variation is the story.
Most expensive published cash price
$6,367.50
University Hospitals Cleveland Medical Center — Cleveland OH 44106|3999 Richmond Road, OHMedian cash price over time
Mar 1, 2026 ($4,781.60) → Jul 1, 2026 ($6,367.50)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Maryland | 1 | $3,402.60 | $3,402.60 | $3,402.60 |
| New Jersey | 1 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 7 | $6,367.50 | $6,367.50 | $6,367.50 |
| Pennsylvania | 4 | $3,954.00 | $4,781.60 | $5,527.20 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Western Maryland | Cumberland, MD | $3,402.60 | $5,671.00 – $5,671.00 |
| UPMC Williamsport | Williamsport, PA | $3,954.00 | $121.29 – $5,931.00 |
| UPMC Wellsboro | Wellsboro, PA | $4,781.60 | $121.29 – $5,379.30 |
| UPMC Muncy | Muncy, PA | $4,885.20 | $121.29 – $5,931.00 |
| UPMC Presbyterian | Pittsburgh, PA | $5,527.20 | $113.71 – $7,830.20 |
| University Hospitals Geneva Medical Center | Geneva, OH | $6,367.50 | $624.00 – $2,808.00 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $6,367.50 | $127.14 – $2,808.00 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $6,367.50 | $120.69 – $217.24 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $6,367.50 | $117.73 – $211.92 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $6,367.50 | $117.73 – $211.92 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $6,367.50 | $127.14 – $228.85 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $6,367.50 | $117.73 – $211.92 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $129.42 – $129.42 |