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.

Most expensive published cash price

$39,732.83

St Joseph Warren Hospital — Warren, OH

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
University Hospitals Elyria Medical Center Elyria, OH $6,367.50 $117.73 – $211.92
University Hospitals Geneva Medical Center Geneva, OH $6,367.50 not published
University Hospitals St. John Medical Center Westlake OH, OH $6,367.50 $127.14 – $228.85
University Hospitals Samaritan Medical Center Ashland, OH $6,367.50 $120.69 – $217.24
University Hospitals Lake West Medical Center Willoughby OH 44094|7590 Auburn Road, OH $6,367.50 $117.73 – $211.92
University Hospitals Parma Medical Center Parma OH 44129|7007 Powers Boulevard, OH $6,367.50 $117.73 – $211.92
University Hospitals Portage Medical Center Ravenna OH 44266, OH $6,367.50 $127.14 – $228.85
University Hospitals Cleveland Medical Center Cleveland OH 44106|3999 Richmond Road, OH $6,367.50 $117.73 – $235.47
University Hospitals Regional Hospitals - Geauga Medical Center Chardon, OH $6,367.50 $117.73 – $211.92
University Hospitals Ahuja Medical Center Beachwood, OH $6,367.50 $117.73 – $2,808.00
CHI Health St. Francis Grand Island, NE $6,564.58 $94.34 – $940.00
Methodist Hospital of Sacramento Sacramento, CA $6,606.72 $95.72 – $5,553.00
Providence St Joseph Hospital Orange Orange, CA $6,613.82 $136.05 – $296.10
CHI Health Good Samaritan Kearney, NE $6,787.11 $78.61 – $930.00
Providence Kodiak Island Medical Center Kodiak, AK $6,799.42 not published
Sierra Nevada Memorial Hospital Grass Valley, CA $6,935.67 $95.72 – $12,471.48
Parkview Bryan Hospital Bryan, OH $7,046.40 not published
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne, IN $7,046.40 $131.66 – $197.50
Parkview LaGrange Hospital Lagrange, IN $7,046.40 $135.51 – $209.78
Parkview Montpelier Hospital Montpelier, OH $7,046.40 not published
Parkview Logansport Hospital Logansport, IN $7,046.40 not published
Parkview Wabash Hospital Wabash, IN $7,046.40 $135.51 – $209.78
Parkview Ortho Hospital Fort Wayne, IN $7,046.40 $131.66 – $197.50
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City, IN $7,046.40 $131.66 – $197.50
Parkview DeKalb Hospital Auburn, IN $7,046.50 $131.66 – $197.50
Parkview Huntington Hospital Huntington, IN $7,046.50 $131.66 – $197.50
Parkview Noble Hospital Kendallville, IN $7,046.50 $131.66 – $197.50
HCA HOUSTON TOMBALL HOUSTON, TX $7,149.00 $202.02 – $209.78
French Hospital San Luis Obispo, CA $7,160.28 $95.72 – $4,815.72
Bakersfield Memorial Hospital Bakersfield, CA $7,448.27 $95.72 – $5,296.20
Queen of The Valley Medical Center Napa, CA $7,457.42 $121.47 – $293.41
Glendale Memorial Hospital Health Center Glendale, CA $7,478.44 $40.00 – $6,108.30
Mercy Hospitals – Bakersfield Bakersfield, CA $7,529.45 $95.72 – $4,914.00
St. Bernardine Medical Center San Bernardino, CA $7,639.02 $95.72 – $5,059.40
St Jude Medical Center Fullerton, CA $7,680.13 $136.05 – $296.10
Arroyo Grande Hospital Santa Maria, CA $7,817.85 $95.72 – $4,815.72
Mercy Medical Center Mt. Shasta Mt Shasta, CA $7,955.83 $95.72 – $10,021.48
St. John's Camarillo Hospital Camarillo, CA $7,999.20 $119.88 – $4,982.64
Providence Regional Medical Center Everett - Colby Campus Everett, WA $8,437.12 $111.23 – $262.18
San Martin Hospital Las Vegas, NV $8,519.80 $85.18 – $3,509.34
Mercy Gilbert Medical Center Gilbert, AZ $8,648.63 $106.59 – $7,279.58
Petaluma Valley Hospital Petaluma, CA $8,834.18 $112.22 – $293.41
Santa Rosa Memorial Hospital Santa Rosa, CA $8,834.18 $120.65 – $293.41
Providence Mission Hospital - Mission Viejo Mission Viejo, CA $8,908.20 $136.05 – $296.10
Mercy Hospital of Folsom Folsom, CA $8,923.66 $91.80 – $5,923.20
Community Hospital San Bernardino San Bernardino, CA $8,969.54 $95.72 – $6,170.00
CHI Health St. Mary's Nebraska City, NE $9,234.92 $214.20 – $960.00
CHI Health Plainview Plainview, NE $9,346.18 $610.00 – $1,354.20
Chandler Regional Medical Center Chandler, AZ $9,422.08 $106.59 – $7,941.36
Siena Hospital Henderson, NV $9,434.12 $85.18 – $3,509.34

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