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 |
|---|---|---|---|
| MUSC Health Kershaw Medical Center | Camden, SC | $1,136.00 | $120.29 – $132.32 |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $1,190.22 | not published |
| Mid Coast Hospital | Brunswick, ME | $1,212.00 | $85.96 – $1,144.13 |
| Adventhealth Ocala | Ocala, FL | $1,222.81 | not published |
| UnityPoint Health - Meriter Hospital | Madison, WI | $1,305.31 | $112.95 – $1,386.89 |
| MUSC Health Chester Medical Center | Chester, SC | $1,346.00 | $120.29 – $132.32 |
| HCA HOUSTON WEST | HOUSTON, TX | $1,650.00 | $202.02 – $209.78 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $1,759.00 | $209.78 – $520.14 |
| Henry Ford Providence Novi Hospital | Novi, MI | $1,834.56 | $93.90 – $136.53 |
| Henry Ford St John Hospital | Detroit, MI | $1,834.56 | $77.75 – $148.47 |
| Ascension Providence | Waco, TX | $1,836.63 | $357.65 – $357.65 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | $1,897.67 | $209.78 – $520.14 |
| CHI St. Vincent North | Sherwood, AR | $2,100.21 | $88.54 – $1,030.00 |
| CHI St. Vincent Morrilton | Morrilton, AR | $2,104.34 | $227.00 – $605.64 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | $2,155.37 | not published |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon, IL | $2,155.37 | not published |
| St. Luke's Health Memorial Lufkin | Lufkin, TX | $2,167.02 | $97.13 – $2,621.90 |
| St. Luke's Health Memorial Livingston | Livingston, TX | $2,167.02 | $97.13 – $2,621.90 |
| St. Luke's Health Memorial San Augustine | San Augustine, TX | $2,167.02 | $97.13 – $2,621.90 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG, VA | $2,217.00 | $336.92 – $336.92 |
| UPMC Cole | Coudersport, PA | $2,400.60 | $101.87 – $3,200.80 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $2,471.30 | $86.69 – $239.88 |
| MaineHealth - Memorial Hospital | North Conway, NH | $2,501.00 | $85.96 – $1,139.28 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $2,513.00 | $128.94 – $225.18 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $2,513.00 | $128.94 – $225.18 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | $2,513.00 | $128.94 – $166.49 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $2,674.32 | $79.53 – $149.57 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $2,674.32 | $79.53 – $79.53 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $2,674.32 | $79.53 – $149.57 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $2,674.32 | $79.53 – $149.57 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $2,674.32 | $79.53 – $149.57 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $2,674.32 | $79.53 – $149.57 |
| Trinity Medical Center East | Steubenville, OH | $2,769.78 | $92.59 – $3,651.34 |
| West Virginia University Hospitals | Morgantown, WV | $2,921.81 | $82.24 – $536.00 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $2,983.52 | $95.72 – $2,730.00 |
| Inova Alexandria Hospital | Alexandria, VA | $3,178.00 | $85.96 – $502.55 |
| Inova Fairfax Hospital | Falls Church, VA | $3,178.00 | $85.96 – $502.55 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $3,178.00 | $85.96 – $502.55 |
| Inova Loudoun Hospital | Leesburg, VA | $3,178.00 | $85.96 – $502.55 |
| Inova Mount Vernon Hospital | Alexandria, VA | $3,178.00 | $85.96 – $502.55 |
| Central Medical Center | Seattle, WA | $3,341.00 | not published |
| UPMC Western Maryland | Cumberland, MD | $3,402.60 | $5,671.00 – $5,671.00 |
| Camden Clark Medical Center | Parkersburg, WV | $3,457.75 | $126.52 – $221.41 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | $3,609.00 | $336.92 – $336.92 |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $3,622.81 | not published |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $3,876.54 | $106.59 – $3,485.48 |
| UPMC Williamsport | Williamsport, PA | $3,954.00 | $121.29 – $121.29 |
| St. Clare Hospital | Lakewood, WA | $3,959.17 | $403.30 – $2,741.80 |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $4,069.44 | $7,536.00 – $7,536.00 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $4,094.40 | $37.56 – $144.66 |