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 |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $5,705.88 | $33.51 – $268.77 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $5,705.88 | $55.86 – $251.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $5,705.88 | $53.06 – $223.42 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $5,705.88 | $41.89 – $251.35 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $5,705.88 | $30.72 – $268.77 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $5,705.88 | $35.86 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $5,705.88 | $41.89 – $268.77 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $5,705.88 | $22.34 – $268.77 |
| Allina Health Faribault Medical Center | Faribualt, MN | $5,717.99 | $87.51 – $225.18 |
| Buffalo Hospital | Buffalo, MN | $5,717.99 | $87.51 – $225.18 |
| Cambridge Medical Center | Cambridge, MN | $5,717.99 | $87.51 – $225.18 |
| River Falls Area Hospital | River Falls, MN | $5,717.99 | $82.47 – $225.18 |
| Owatonna Hospital | Owatonna, MN | $5,717.99 | $87.51 – $225.18 |
| Providence Medford Medical Center | Medford, OR | $5,736.48 | not published |
| Providence Newberg Medical Center | Newberg, OR | $5,736.48 | not published |
| Providence Seaside Hospital | Seaside, OR | $5,736.48 | not published |
| Providence Portland Medical Center | Portland, OR | $5,736.48 | $136.11 – $276.65 |
| Providence St Vincent Medical Center | Portland, OR | $5,736.48 | $136.11 – $276.65 |
| Providence Willamette Falls Medical Center | Oregon City, OR | $5,736.48 | $136.11 – $276.65 |
| Providence Hood River Memorial Hospital | Hood River, OR | $5,736.48 | not published |
| Providence Milwaukie Hospital | Milwaukie, OR | $5,736.48 | $136.11 – $276.65 |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $5,892.84 | not published |
| Swedish Medical Center Cherry Hill | Seattle, WA | $5,911.95 | $111.23 – $266.60 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $5,911.95 | $111.23 – $266.60 |
| Swedish Issaquah | Issaquah, WA | $5,911.95 | $111.23 – $267.34 |
| Swedish Edmonds Hospital | Edmonds, WA | $5,911.95 | $111.23 – $262.18 |
| Providence St Joseph Hospital | Chewelah, WA | $5,924.88 | not published |
| Providence Mount Carmel Hospital | Colville, WA | $5,924.88 | not published |
| Sequoia Hospital | Redwood City, CA | $6,022.02 | $27.50 – $5,264.35 |
| Covenant Medical Center | Lubbock, TX | $6,058.74 | $125.01 – $448.46 |
| Covenant Hospital Plainview | Plainview, TX | $6,058.74 | $121.26 – $131.89 |
| Covenant Children's Hospital | Lubbock, TX | $6,058.74 | $385.48 – $518.59 |
| Covenant Hospital Levelland | Levelland, TX | $6,058.74 | $121.26 – $131.89 |
| Covenant Health Hobbs Hospital | Hobbs, NM | $6,058.74 | not published |
| Covenant Specialty Hospital | Lubbock, TX | $6,058.74 | not published |
| St. Michael Medical Center | Silverdale, WA | $6,062.18 | $349.96 – $3,290.16 |
| Providence Holy Family Hospital | Spokane, WA | $6,201.83 | $111.23 – $256.55 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $6,201.83 | $111.23 – $256.55 |
| MultiCare Auburn Medical Center | Auburn, WA | $6,262.00 | $141.62 – $597.36 |
| MultiCare Allenmore Hospital | Tacoma, WA | $6,262.00 | $142.33 – $597.36 |
| MultiCare Capital Medical Center | Olympia, WA | $6,262.00 | $141.22 – $643.84 |
| MultiCare Covington Medical Center | Covington, WA | $6,262.00 | $141.62 – $597.36 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $6,262.00 | $142.33 – $597.36 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $6,262.00 | $146.60 – $999.96 |
| MultiCare Valley Hospital | Spokane Valley, WA | $6,262.00 | $139.98 – $565.77 |
| MultiCare Deaconess Hospital | Spokane, WA | $6,262.00 | $135.90 – $567.04 |
| Woodland Memorial Hospital | Woodland, CA | $6,285.56 | $95.72 – $6,170.00 |
| Mercy San Juan Medical Center | Carmichael, CA | $6,285.56 | $95.72 – $5,244.50 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $6,367.50 | $117.73 – $2,808.00 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $6,367.50 | not published |