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 |
|---|---|---|---|
| CHI Health Schuyler | Schuyler, NE | $9,457.44 | $214.20 – $1,132.20 |
| St. Mary Medical Center | Long Beach, CA | $9,864.20 | $86.15 – $6,170.00 |
| Providence Centralia Hospital | Centralia, WA | $10,045.59 | $144.11 – $266.60 |
| Providence St Peter Hospital | Olympia, WA | $10,045.59 | $121.65 – $467.29 |
| Providence Alaska Medical Center | Anchorage, AK | $10,528.13 | $540.66 – $540.66 |
| St Elias Specialty Hospital | Anchorage, AK | $10,528.13 | $121.26 – $448.46 |
| California Hospital Medical Center | Los Angeles, CA | $11,125.90 | $86.15 – $6,339.75 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | $11,539.93 | $128.94 – $166.49 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $11,539.93 | $128.94 – $166.49 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $11,539.93 | $128.94 – $166.49 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | $11,539.93 | $128.94 – $166.49 |
| Northwestern Memorial Hospital | Chicago, IL | $12,522.08 | not published |
| Southampton Medical Center | Franklin, VA | $16,543.35 | not published |
| Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $16,821.48 | not published |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $25,841.07 | not published |
| Jewish Hospital | Cincinnati, OH | $26,239.58 | not published |
| Anderson Hospital | Cincinnati, OH | $26,239.58 | not published |
| Clermont Hospital | Batavia, OH | $26,239.58 | not published |
| Kings Mills Hospital | Mason, OH | $26,239.58 | not published |
| Fairfield Hospital | Fairfield, OH | $26,239.58 | not published |
| Mercy West Hospital | Cincinnati, OH | $26,239.58 | not published |
| Marcum Wallace Hospital | Irvine, KY | $26,239.58 | not published |
| Urbana Hospital | Urbana, OH | $26,239.58 | not published |
| Springfield Medical Center | Springfield, OH | $26,239.58 | not published |
| Willard Hospital | Willard, OH | $26,441.75 | not published |
| Southern Virginia Medical Center | Emporia, VA | $26,622.34 | not published |
| Southside Regional Medical Center | Petersburg, VA | $26,622.34 | not published |
| Defiance Hospital | Defiance, OH | $28,694.53 | not published |
| Allen Hospital | Oberlin, OH | $29,788.22 | not published |
| Lorain Hospital | Lorain, OH | $29,788.22 | not published |
| St Anne Hospital | Toledo, OH | $30,194.38 | not published |
| Tiffin Hospital | Tiffin, OH | $30,489.55 | not published |
| Baptist Hospital | MIAMI, FL | $30,569.50 | $129.95 – $5,463.90 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $30,569.50 | $129.95 – $5,463.90 |
| Doctors Hospital | CORAL GABLES, FL | $30,569.50 | $129.95 – $5,463.90 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $30,569.50 | $129.95 – $5,463.90 |
| Fishermens Community Hospital | MARATHON, FL | $30,569.50 | $1,013.86 – $5,463.90 |
| Homestead Hospital | HOMESTEAD, FL | $30,569.50 | $129.95 – $5,463.90 |
| Mariners Hospital | TAVERNIER, FL | $30,569.50 | $1,050.28 – $5,463.90 |
| West Kendall Baptist Hospital | MIAMI, FL | $30,569.50 | $129.95 – $5,463.90 |
| Baptist Health Floyd | New Albany, IN | $30,711.37 | $50.55 – $61,422.74 |
| Baptist Health Hardin | Elizabethtown, KY | $30,711.37 | $109.19 – $81,896.98 |
| Baptist Health Corbin | Corbin, KY | $30,711.37 | $109.19 – $81,896.98 |
| Baptist Health La Grange | La Grange, KY | $30,711.37 | $109.19 – $81,896.98 |
| Baptist Health Lexington | Lexington, KY | $30,711.37 | $109.19 – $83,248.28 |
| Baptist Health Louisville | Louisville, KY | $30,711.37 | $98.27 – $81,896.98 |
| Baptist Health Paducah | Paducah, KY | $30,711.37 | $92.59 – $81,896.98 |
| Lourdes Hospital | Paducah, KY | $31,700.83 | not published |
| St Ritas Medical Center | Lima, OH | $35,347.27 | not published |
| Rappahannock General Hospital | Kilmarnock, VA | $39,575.04 | not published |