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 Coushatta Health Care Center | Coushatta, LA | not published | $91.01 – $144.66 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $77.69 – $77.69 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $273.35 – $273.35 |
| Jacobi Medical Center | Bronx, NY | not published | $90.71 – $310.68 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $92.59 – $310.68 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | not published | $123.96 – $224.36 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | $126.74 – $126.74 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | not published | $371.55 – $371.55 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | not published | $92.32 – $371.55 |
| Riverview Medical Center | Red Bank, NJ | not published | $126.74 – $126.74 |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | $126.74 – $126.74 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $129.42 – $129.42 |
| Raritan Bay Medical Center | Perth Amboy, NJ | not published | $129.42 – $129.42 |
| Ocean University Medical Center | Brick, NJ | not published | $126.74 – $126.74 |
| Hackensack University Medical Center | Hackensack, NJ | not published | $129.42 – $129.42 |
| Bayshore Medical Center | Holmdel, NJ | not published | not published |
| Advocate Trinity Hospital | Chicago, IL | not published | $171.92 – $461.27 |
| Harlem Hospital Center | New York, NY | not published | $92.59 – $310.68 |
| Waldo County General Hospital | Belfast, ME | not published | $85.96 – $147.77 |
| Spring Harbor Hospital | Westbrook, ME | not published | $85.96 – $147.77 |
| Pen Bay Medical Center | Rockport, ME | not published | $85.96 – $147.77 |
| Metropolitan Hospital Center | New York, NY | not published | $92.59 – $310.68 |
| Lincoln Medical Center | Bronx, NY | not published | $92.59 – $310.68 |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $171.92 – $461.27 |
| Advocate Sherman Hospital | Elgin, IL | not published | $171.92 – $320.70 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $171.92 – $461.27 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $171.92 – $461.27 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | not published | $91.32 – $149.57 |