Allograft graftjacket 2x12cm-q4107-cost per sq cm cost at US hospitals
ALLOGRAFT GRAFTJACKET 2X12CM-Q4107-COST PER SQ CM · HCPCS Q4107
$215.00
lowest cash price
$4,677.40
national median
$39,732.83
highest cash price
403
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $215.00–$39,732.83 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($1,212.00) → Sep 1, 2026 ($7,046.40)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 4 | $5,549.20 | $6,799.42 | $10,528.13 |
| Arizona | 3 | $3,876.54 | $8,648.63 | $9,422.08 |
| Arkansas | 4 | $215.00 | $2,100.21 | $2,471.30 |
| California | 70 | $2,983.52 | $4,677.40 | $11,125.90 |
| Colorado | 7 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 56 | $397.00 | $2,513.00 | $30,569.50 |
| Georgia | 11 | not published by hospital | not published by hospital | not published by hospital |
| Hawaii | 1 | $736.20 | $736.20 | $736.20 |
| Illinois | 28 | $378.00 | $644.80 | $25,841.07 |
| Indiana | 14 | $4,094.40 | $7,046.40 | $30,711.37 |
| Iowa | 27 | $238.13 | $238.13 | $5,451.94 |
| Kansas | 5 | $592.59 | $592.59 | $592.59 |
| Kentucky | 18 | $284.00 | $284.00 | $31,700.83 |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | $1,212.00 | $1,212.00 | $1,212.00 |
| Maryland | 1 | $3,402.60 | $3,402.60 | $3,402.60 |
| Michigan | 10 | $587.20 | $1,834.56 | $1,834.56 |
| Minnesota | 11 | $840.56 | $5,449.70 | $5,717.99 |
| Missouri | 12 | $2,674.32 | $2,674.32 | $2,674.32 |
| Montana | 1 | $4,161.76 | $4,161.76 | $4,161.76 |
| Nebraska | 12 | $4,673.09 | $5,118.15 | $9,457.44 |
| Nevada | 2 | $8,519.80 | $8,519.80 | $9,434.12 |
| New Hampshire | 1 | $2,501.00 | $2,501.00 | $2,501.00 |
| New Jersey | 19 | $219.86 | $231.94 | $316.56 |
| New Mexico | 3 | $6,058.74 | $6,058.74 | $6,058.74 |
| New York | 11 | not published by hospital | not published by hospital | not published by hospital |
| North Carolina | 1 | $934.76 | $934.76 | $934.76 |
| North Dakota | 2 | $804.01 | $804.01 | $950.20 |
| Ohio | 57 | $277.15 | $7,046.40 | $39,732.83 |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 11 | $4,069.44 | $5,736.48 | $5,736.48 |
| Pennsylvania | 6 | $2,400.60 | $4,781.60 | $5,527.20 |
| South Carolina | 9 | $885.50 | $885.50 | $1,346.00 |
| South Dakota | 1 | $253.60 | $253.60 | $253.60 |
| Tennessee | 17 | $743.00 | $743.00 | $743.00 |
| Texas | 111 | $273.15 | $4,898.43 | $7,149.00 |
| Virginia | 19 | $2,217.00 | $3,178.00 | $39,575.04 |
| Washington | 31 | $3,341.00 | $5,924.88 | $10,045.59 |
| West Virginia | 3 | $284.00 | $2,921.81 | $3,457.75 |
| Wisconsin | 13 | $269.28 | $269.28 | $1,305.31 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $215.00 | $75.25 – $227.00 |
| Community Medical Center | Toms River, NJ | $219.86 | $83.93 – $143.29 |
| Jersey City Medical Center | Jersey City, NJ | $220.28 | $83.93 – $143.29 |
| Newark Beth Israel Medical Center | Newark, NJ | $220.81 | $83.93 – $143.29 |
| Cooperman Barnabas Medical Center | Livingston, NJ | $224.63 | $83.93 – $143.29 |
| Monmouth Medical Center | Long Branch, NJ | $231.94 | $83.93 – $143.29 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $238.13 | $38.76 – $200.01 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $238.13 | $75.60 – $225.13 |
| MercyOne Clinton Medical Center | Clinton, IA | $238.13 | $38.76 – $200.01 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $238.13 | $76.44 – $200.01 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $238.13 | $32.64 – $200.01 |
| MercyOne Newton Medical Center | Newton, IA | $238.13 | $40.00 – $200.01 |
| MercyOne North Iowa Medical Center | Mason City, IA | $238.13 | $40.00 – $200.01 |
| MercyOne Elkader Medical Center | Elkader, IA | $238.13 | $102.95 – $209.05 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $239.31 | $40.00 – $200.01 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $239.77 | $34.68 – $200.01 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | $243.24 | $83.94 – $143.29 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | $250.81 | $83.93 – $143.29 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | $251.98 | $83.93 – $143.29 |
| Sanford USD Medical Center | Sioux Falls, SD | $253.60 | $1.00 – $285.30 |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $269.28 | $118.07 – $273.83 |
| HSHS St. Vincent Hospital | Green Bay, WI | $269.28 | $118.07 – $271.97 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | $273.15 | $90.12 – $90.12 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | $273.15 | $90.12 – $90.12 |
| Riverside Methodist Hospital | Columbus, OH | $277.15 | $119.99 – $369.83 |
| Dublin Methodist Hospital | Dublin, OH | $277.15 | $119.99 – $369.83 |
| Grant Medical Center | Columbus, OH | $277.15 | $119.99 – $369.83 |
| Doctors Hospital | Columbus, OH | $277.15 | $122.62 – $369.83 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $277.37 | $90.12 – $431.86 |
| Trinitas Regional Medical Center | Elizabeth, NJ | $278.57 | $83.94 – $616.89 |
| Beckley ARH Hospital | Beckley, WV | $284.00 | not published |
| Harlan ARH Hospital | KY 40831, KY | $284.00 | $109.19 – $109.19 |
| Middlesboro ARH Hospital | Middlesboro, KY | $284.00 | $109.19 – $109.19 |
| Morgan County ARH Hospital | Liberty, KY | $284.00 | $109.19 – $109.19 |
| Mary Breckinridge ARH Hospital | Hayden, KY | $284.00 | $109.19 – $109.19 |
| ARH Our Lady of the Way Hospital | Martin, KY | $284.00 | $109.19 – $109.19 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $284.00 | $109.19 – $109.19 |
| Hazard ARH Regional Medical Center | Hazard, KY | $284.00 | $109.19 – $109.19 |
| Barbourville ARH Hospital | Barbourville, KY | $284.00 | $109.19 – $109.19 |
| Paintsville ARH Hospital | Paintsville, KY | $284.00 | $109.19 – $109.19 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $292.91 | $82.24 – $207.73 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $316.56 | $83.93 – $143.29 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $366.35 | $32.64 – $200.01 |
| MercyOne Centerville Medical Center | Centerville, IA | $366.35 | $54.88 – $200.01 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $378.00 | not published |
| AdventHealth Orlando | Orlando, FL | $397.00 | not published |
| OSF Saint Anthony's Health Center | Alton, IL | $444.60 | $133.36 – $136.02 |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | $444.60 | not published |
| OSF St Mary Medical Center | Galesburg, IL | $444.60 | not published |
| OSF Saint Francis Medical Center | Peoria, IL | $453.60 | $84.70 – $453.36 |