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 |
|---|---|---|---|
| St Patrick Hospital - Broadway Campus | Missoula, MT | $4,161.76 | $128.41 – $152.32 |
| St. Anthony Hospital | Gig Harbor, WA | $4,177.67 | $403.30 – $2,741.80 |
| Mercy Medical Center Merced | Merced, CA | $4,180.77 | $95.72 – $2,096.64 |
| St. Anne Hospital | Burien, WA | $4,194.25 | $483.36 – $3,290.16 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $4,232.06 | $160.06 – $296.10 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $4,232.06 | $160.06 – $296.10 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $4,232.06 | $160.06 – $296.10 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $4,232.06 | $160.06 – $296.10 |
| Providence Saint Joseph Medical Center | Burbank, CA | $4,232.06 | $160.06 – $296.10 |
| Providence Saint John's Health Center | Santa Monica, CA | $4,232.06 | $160.06 – $296.10 |
| Mercy Medical Center Redding | Redding, CA | $4,259.82 | $95.72 – $8,402.00 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $4,304.40 | $37.56 – $242.77 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $4,304.40 | $37.56 – $242.77 |
| St. Francis Hospital | Federal Way, WA | $4,310.55 | $403.30 – $2,741.80 |
| Orange County Anaheim Medical Center | Anaheim, CA | $4,343.30 | not published |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $4,343.30 | not published |
| Downey Medical Center | Downey, CA | $4,343.30 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $4,343.30 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $4,343.30 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $4,343.30 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $4,343.30 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $4,343.30 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $4,343.30 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $4,343.30 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $4,343.30 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $4,343.30 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $4,343.30 | not published |
| Providence St Joseph Hospital Eureka | Eureka, CA | $4,374.07 | $144.89 – $293.41 |
| Redwood Memorial Hospital | Fortuna, CA | $4,374.07 | $145.25 – $145.25 |
| Sunnyside Medical Center | CLACKAMAS, OR | $4,543.76 | not published |
| Westside Medical Center | HILLSBORO, OR | $4,543.76 | not published |
| St. Joseph Medical Center | Tacoma, WA | $4,549.20 | $403.30 – $2,741.80 |
| Kadlec Regional Medical Center | Richland, WA | $4,606.06 | $138.67 – $256.55 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $4,618.98 | $90.12 – $90.12 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $4,673.09 | $29.81 – $168.90 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $4,673.09 | $33.78 – $168.90 |
| Lasting Hope Recovery Center | Omaha, NE | $4,673.09 | $33.78 – $168.90 |
| CHI Health Immanuel | Omaha, NE | $4,673.09 | $27.82 – $168.90 |
| CHI Health Lakeside | Omaha, NE | $4,673.09 | $31.80 – $168.90 |
| CHI Health Midlands | Papillion, NE | $4,673.09 | $35.77 – $168.90 |
| Redwood City Medical Center | Redwood City, CA | $4,677.40 | not published |
| Oakland Medical Center | Oakland, CA | $4,677.40 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $4,677.40 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $4,677.40 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $4,677.40 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $4,677.40 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $4,677.40 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $4,677.40 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $4,677.40 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $4,677.40 | not published |