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 |
|---|---|---|---|
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $88.97 – $197.87 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $209.78 – $520.14 |
| Claiborne Medical Center | Tazewell, TN | not published | $120.92 – $126.97 |
| Roane County Medical Center | Harriman, TN | not published | $112.91 – $118.56 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $136.47 – $284.47 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $136.47 – $305.09 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $136.47 – $327.76 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $136.47 – $454.54 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $136.47 – $454.05 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $136.47 – $176.25 |
| CHRISTUS Trinity Mother Frances Hospital - South Tyler | Tyler, TX | not published | $136.47 – $176.25 |
| CHRISTUS Trinity Mother Frances Hospital - Sulphur Springs | Sulphur Springs, TX | not published | $285.50 – $285.50 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $136.47 – $176.25 |
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler, TX | not published | $136.47 – $176.25 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $82.93 – $165.94 |
| SSM Health Ripon Community Hospital | Ripon, WI | not published | $371.55 – $371.55 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $120.88 – $371.55 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $113.56 – $233.39 |
| south pointe hospital | Warrensville Heights, OH | not published | $93.52 – $1,159.07 |
| mercy hospital | Canton, OH | not published | $93.52 – $987.93 |
| medina hospital | Medina, OH | not published | $93.52 – $1,018.95 |
| indian river hospital | Vero Beach, FL | not published | $87.37 – $142.95 |
| marymount hospital | Garfield Heights, OH | not published | $93.52 – $982.36 |
| martin north hospital | Stuart, FL | not published | $87.37 – $142.95 |
| lodi hospital | Lodi, OH | not published | $127.14 – $1,698.58 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | not published | $118.07 – $216.04 |
| Adventhealth Redmond | Rome, GA | not published | $129.34 – $359.56 |
| Adventhealth Central Texas | Killeen, TX | not published | $125.01 – $396.82 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $273.35 – $273.35 |
| hillcrest hospital | Mayfield Heights, OH | not published | $93.52 – $1,088.77 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | not published | $91.01 – $169.44 |
| lutheran hospital | Cleveland, OH | not published | $93.52 – $994.91 |
| fairview hospital | Cleveland, OH | not published | $93.52 – $1,045.03 |
| euclid hospital | Euclid, OH | not published | $93.52 – $1,112.40 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $1,530.93 – $1,772.66 |
| cleveland clinic florida weston hospital | Weston, FL | not published | $87.37 – $142.95 |
| avon hospital | Avon, OH | not published | $93.52 – $955.56 |
| akron general | Akron, OH | not published | $93.52 – $1,012.39 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $1.00 – $1.00 |
| Adventhealth Port Charlotte | Port Charlotte, FL | not published | $129.95 – $237.30 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | not published | $91.01 – $169.44 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | not published | $91.01 – $169.44 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | not published | $34.99 – $169.44 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | not published | $34.99 – $169.44 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | not published | $91.01 – $169.44 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | not published | $91.01 – $169.44 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | not published | $91.01 – $169.44 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | not published | $91.01 – $169.44 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $171.92 – $461.27 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $138.67 – $152.54 |