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 |
|---|---|---|---|
| OSF St Joseph Medical Center | Bloomington, IL | $459.00 | not published |
| OSF Saint Anthony Medical Center | Rockford, IL | $469.80 | $84.70 – $466.75 |
| Adventhealth Tampa | Tampa, FL | $473.24 | not published |
| Adventhealth Riverview | Riverview, FL | $473.24 | not published |
| Adventhealth Carrollwood | Tampa, FL | $562.37 | not published |
| OSF St Francis Hospital | Escanaba, MI | $587.20 | not published |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $592.59 | not published |
| Adventhealth South Overland Park | Overland Park, KS | $592.59 | not published |
| Adventhealth Ottawa | Ottawa, KS | $592.59 | $93.73 – $198.94 |
| OSF Holy Family Medical Center | Monmouth, IL | $592.80 | not published |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $644.80 | not published |
| Adventhealth Palm Coast | Palm Coast, FL | $697.63 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $697.63 | not published |
| Moanalua Medical Center | HONOLULU, HI | $736.20 | not published |
| STONECREST MEDICAL CENTER | Smyrna, TN | $743.00 | $110.03 – $336.92 |
| AdventHealth Deland | Deland, FL | $761.04 | not published |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $797.03 | not published |
| Sanford Medical Center Bismarck | Bismarck, ND | $804.01 | $318.69 – $904.51 |
| Adventhealth Waterman | Tavares, FL | $837.15 | not published |
| Sanford Bemidji Medical Center | Bemidji, MN | $840.56 | $1.02 – $166.91 |
| MUSC Health Black River Medical Center | Cades, SC | $885.50 | $115.74 – $128.94 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $885.50 | $115.74 – $293.41 |
| MUSC Health Florence Medical Center | Florence, SC | $885.50 | $115.74 – $128.94 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $885.50 | not published |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $885.50 | $120.93 – $133.02 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $899.60 | $127.62 – $293.85 |
| HCA HOUSTON CONROE | CONROE, TX | $921.00 | $202.02 – $209.78 |
| Adventhealth Hendersonville | Hendersonville, NC | $934.76 | not published |
| Sanford Fargo Medical Center | Fargo, ND | $950.20 | $1.00 – $421.81 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | $1,040.00 | $202.02 – $209.78 |
| Adventhealth Dade City | Dade City, FL | $1,054.20 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $1,085.80 | $134.51 – $134.51 |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $1,085.80 | $134.51 – $134.51 |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $1,085.80 | $134.51 – $134.51 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $1,085.80 | $211.09 – $211.09 |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $1,085.80 | $211.09 – $211.09 |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $1,085.80 | $211.09 – $211.09 |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $1,085.80 | $134.51 – $134.51 |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $1,085.80 | $134.51 – $134.51 |
| Texas Health Hospital Frisco | Frisco, TX | $1,085.80 | $134.51 – $134.51 |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $1,085.80 | $211.09 – $211.09 |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $1,085.80 | $211.09 – $211.09 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $1,085.80 | $134.51 – $134.51 |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $1,085.80 | $134.51 – $134.51 |
| Texas Health Hospital Rockwall | Rockwall, TX | $1,085.80 | $211.09 – $211.09 |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $1,085.80 | $211.09 – $211.09 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $1,085.80 | $134.51 – $134.51 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $1,085.80 | $134.51 – $134.51 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $1,085.80 | $211.09 – $211.09 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $1,085.80 | $211.09 – $211.09 |