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 |
|---|---|---|---|
| Walnut Creek Medical Center | WALNUT CREEK, CA | $4,677.40 | not published |
| Vallejo Medical Center | VALLEJO, CA | $4,677.40 | not published |
| Antioch Medical Center | ANTIOCH, CA | $4,677.40 | not published |
| Fremont Medical Center | FREMONT, CA | $4,677.40 | not published |
| Fresno Medical Center | FRESNO, CA | $4,677.40 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $4,677.40 | not published |
| San Jose Medical Center | SAN JOSE, CA | $4,677.40 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $4,677.40 | not published |
| Healdsburg Hospital | Healdsburg, CA | $4,732.60 | $167.67 – $286.12 |
| UPMC Wellsboro | Wellsboro, PA | $4,781.60 | $121.29 – $121.29 |
| St. Elizabeth Hospital | Enumclaw, WA | $4,853.68 | $448.21 – $3,290.16 |
| UPMC Muncy | Muncy, PA | $4,885.20 | $121.29 – $121.29 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $4,898.43 | $97.13 – $7,259.40 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $4,898.43 | $97.13 – $5,886.00 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $4,898.43 | $97.13 – $5,886.00 |
| St. Joseph Health College Station Hospital | College Station, TX | $4,898.43 | $97.13 – $5,559.00 |
| Abbott Northwestern Hospital | MN 55407, MN | $4,901.14 | $87.51 – $225.18 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $4,901.14 | $87.51 – $225.18 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $4,901.14 | $87.51 – $225.18 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $4,906.77 | $95.72 – $8,233.96 |
| Mercy General Hospital | Sacramento, CA | $5,000.92 | $95.72 – $5,491.30 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403, PA | $5,063.89 | $300.86 – $436.70 |
| CHI Health Nebraska Heart | Lincoln, NE | $5,118.15 | $94.34 – $820.00 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | $5,177.40 | $37.56 – $144.66 |
| Providence St Mary Medical Center | Walla Walla, WA | $5,295.00 | $138.67 – $256.55 |
| CHI Health Mercy Corning | Corning, IA | $5,340.68 | $91.01 – $980.00 |
| Berger Hospital | Circleville, OH | $5,378.46 | $119.99 – $119.99 |
| Dominican Hospital | Santa Cruz, CA | $5,380.65 | $87.49 – $11,957.00 |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $5,419.16 | $91.02 – $310.28 |
| New Ulm Medical Center | MN 56073, MN | $5,449.70 | $77.09 – $225.18 |
| CHI Health Missouri Valley | Missouri Valley, IA | $5,451.94 | $91.01 – $980.00 |
| Northridge Hospital Medical Center | Northridge, CA | $5,513.88 | $95.72 – $8,988.00 |
| UPMC Presbyterian | Pittsburgh, PA | $5,527.20 | $113.71 – $166.95 |
| Providence Valdez Medical Center | Valdez, AK | $5,549.20 | not published |
| CHI Health St. Elizabeth | Lincoln, NE | $5,563.20 | $51.47 – $179.00 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | $5,639.00 | $202.02 – $209.78 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $5,705.88 | $47.48 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $5,705.88 | $34.49 – $251.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $5,705.88 | $33.51 – $209.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $5,705.88 | $44.68 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $5,705.88 | $53.79 – $251.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $5,705.88 | $86.58 – $251.35 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $5,705.88 | $44.68 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $5,705.88 | $41.89 – $269.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $5,705.88 | $33.51 – $209.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $5,705.88 | $30.72 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $5,705.88 | $30.72 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $5,705.88 | $47.48 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $5,705.88 | $78.20 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $5,705.88 | $30.72 – $251.35 |