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 |
|---|---|---|---|
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $336.92 – $336.92 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $82.93 – $395.79 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $110.03 – $336.92 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $110.03 – $336.92 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | not published | $110.03 – $336.92 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | not published | $110.03 – $336.92 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $110.03 – $336.92 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $110.03 – $336.92 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $110.03 – $336.92 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN, KY | not published | $209.78 – $209.78 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $209.78 – $520.14 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $209.78 – $520.14 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $209.78 – $520.14 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $209.78 – $520.14 |
| Kettering Health Troy | Troy, OH | not published | $121.96 – $327.66 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $123.38 – $331.47 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $121.96 – $327.66 |
| Soin Medical Center | Beaver Creek, OH | not published | $122.62 – $329.42 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $122.62 – $329.42 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $123.38 – $331.47 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $122.62 – $329.42 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $148.46 – $248.89 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $101.13 – $126.93 |
| Gouverneur Hospital | Gouverneur, NY | not published | $101.13 – $101.13 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | not published | $85.96 – $107.71 |
| The Unity Hospital of Rochester | Rochester, NY | not published | $85.96 – $101.13 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $209.78 – $520.14 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $125.01 – $243.77 |
| Houston Methodist Continuing Care Hospital | Katy, TX | not published | $807.22 – $807.22 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $125.01 – $250.02 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $125.01 – $243.77 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $125.01 – $243.77 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $125.01 – $243.77 |
| Houston Methodist West Hospital | Houston, TX | not published | $125.01 – $500.05 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $125.01 – $243.77 |
| Houston Methodist Hospital | Houston, TX | not published | $125.01 – $500.05 |
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | not published | $125.22 – $250.44 |
| Texas Health Hospital Mansfield | Mansfield, TX | not published | $125.01 – $250.02 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $112.91 – $118.56 |
| Parkwest Medical Center | Knoxville, TN | not published | $96.53 – $118.56 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $112.91 – $118.56 |
| LeConte Medical Center | Sevierville, TN | not published | $120.92 – $126.97 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $112.91 – $118.56 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $112.91 – $118.56 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $136.47 – $401.97 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $120.92 – $126.97 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $88.97 – $448.35 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $82.93 – $165.94 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $92.59 – $318.69 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $136.47 – $256.64 |