Graft puraplyam antimicrob 1.6-q4196-cost per sq cm cost at US hospitals
GRAFT PURAPLYAM ANTIMICROB 1.6-Q4196-COST PER SQ CM · HCPCS Q4196
$68.78
lowest cash price
$886.17
national median
$13,076.30
highest cash price
524
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $68.78–$13,076.30 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($525.05) → Sep 1, 2026 ($816.86)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | $7,082.48 | $7,082.48 | $10,083.53 |
| Arizona | 3 | $1,685.39 | $3,934.04 | $4,285.86 |
| Arkansas | 4 | $68.78 | $296.00 | $585.00 |
| California | 68 | $79.20 | $9,266.40 | $12,927.60 |
| Colorado | 13 | $1,057.31 | $1,057.31 | $1,220.00 |
| Florida | 49 | $183.14 | $811.26 | $12,026.39 |
| Georgia | 14 | $131.43 | $1,413.85 | $1,413.85 |
| Illinois | 37 | $256.20 | $402.40 | $11,542.80 |
| Indiana | 7 | $4,366.61 | $10,983.60 | $12,663.60 |
| Iowa | 30 | $104.00 | $397.96 | $11,542.80 |
| Kansas | 6 | $169.00 | $320.65 | $803.54 |
| Kentucky | 14 | $217.32 | $4,366.61 | $5,266.80 |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | $176.37 | $525.05 | $534.83 |
| Maryland | 1 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 23 | $171.12 | $236.46 | $1,935.36 |
| Minnesota | 14 | $315.20 | $581.28 | $678.16 |
| Missouri | 17 | $209.30 | $1,560.21 | $10,524.25 |
| Montana | 2 | $6,976.80 | $6,976.80 | $6,976.80 |
| Nebraska | 12 | $1,632.96 | $1,788.48 | $3,304.80 |
| Nevada | 2 | $6,553.44 | $6,553.44 | $7,256.74 |
| New Hampshire | 1 | $5,130.00 | $5,130.00 | $5,130.00 |
| New Jersey | 21 | $241.88 | $283.81 | $399.96 |
| New Mexico | 3 | $9,889.61 | $9,889.61 | $9,889.61 |
| New York | 19 | $127.14 | $460.69 | $6,744.00 |
| North Carolina | 14 | $163.02 | $850.00 | $1,219.88 |
| North Dakota | 2 | $630.00 | $630.00 | $756.00 |
| Ohio | 46 | $77.35 | $599.64 | $11,176.79 |
| Oklahoma | 5 | $189.79 | $288.60 | $365.95 |
| Oregon | 9 | $178.88 | $10,311.30 | $10,311.30 |
| Pennsylvania | 8 | $204.00 | $328.80 | $4,721.60 |
| South Carolina | 9 | $541.00 | $541.00 | $663.00 |
| South Dakota | 3 | $469.71 | $900.00 | $1,440.00 |
| Tennessee | 30 | $131.43 | $316.20 | $8,464.50 |
| Texas | 114 | $98.44 | $1,315.71 | $9,889.61 |
| Virginia | 32 | $163.02 | $310.27 | $8,487.58 |
| Washington | 27 | $7,577.01 | $10,508.80 | $13,076.30 |
| West Virginia | 15 | $119.50 | $828.00 | $4,761.60 |
| Wisconsin | 29 | $91.16 | $193.38 | $314.50 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| 26-1214372 NEA Baptist | Jonesboro, AR | $68.78 | $126.42 – $126.42 |
| cleveland clinic main campus | Cleveland, OH | $77.35 | $28.56 – $227.23 |
| WILLITS HOSPITAL INC | Willits, CA | $79.20 | $101.03 – $209.43 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield, CA | $88.80 | $120.79 – $313.81 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | $91.16 | $72.24 – $157.48 |
| Methodist Charlton Medical Center | Dallas, TX | $98.44 | $79.30 – $330.14 |
| Methodist Dallas Medical Center | Dallas, TX | $98.44 | $79.30 – $337.53 |
| Methodist Mansfield Medical Center | Mansfield, TX | $98.44 | $79.30 – $338.09 |
| Methodist Midlothian Medical Center | Midlothian, TX | $98.44 | $125.01 – $337.53 |
| Methodist Richardson Medical Center | Richardson, TX | $98.44 | $79.30 – $337.53 |
| Methodist Celina Medical Center | Celina, TX | $98.44 | $76.61 – $312.53 |
| Methodist Southlake Medical Center | Souhtlake, TX | $98.44 | $79.30 – $338.09 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $100.64 | $101.03 – $209.43 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $104.00 | $102.78 – $134.90 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $104.00 | $102.78 – $134.90 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $104.00 | $33.80 – $134.90 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $104.00 | $102.78 – $134.90 |
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $112.48 | $139.47 – $251.78 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $112.48 | $60.90 – $230.13 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $112.48 | $121.93 – $371.69 |
| Braxton County Memorial Hospital | Gassaway, WV | $119.50 | $171.22 – $171.22 |
| Barnesville Hospital | Barnesville, OH | $119.50 | $171.22 – $171.22 |
| Jefferson Medical Center | Ranson, WV | $119.50 | $171.22 – $171.22 |
| Bellevue Hospital Center | NY 10016, NY | $127.14 | $59.81 – $233.01 |
| Kings County Hospital Center | Brooklyn, NY | $127.14 | $59.81 – $233.01 |
| Woodhull Medical Center | Brooklyn, NY | $127.14 | $59.81 – $233.01 |
| Queens Hospital Center | Jamaica, NY | $127.14 | $59.81 – $233.01 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $131.43 | $42.75 – $230.85 |
| CHI Memorial Hospital Hixson | Hixson, TN | $131.43 | $57.00 – $285.00 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | $141.36 | $144.86 – $248.00 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $141.36 | $144.86 – $248.00 |
| Ascension Providence | Waco, TX | $143.37 | $150.53 – $168.00 |
| Reynolds Memorial Hospital | Glen Dale, WV | $143.50 | $82.24 – $221.41 |
| Wetzel County Hospital | New Martinsville, WV | $143.50 | $126.52 – $221.41 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $148.47 | $101.03 – $306.24 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $149.20 | $66.41 – $203.21 |
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $163.02 | not published |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $163.02 | not published |
| Sentara RMH Medical Center | Harrisonburg, VA | $163.02 | not published |
| Sentara Halifax Regional Hospital | South Boston, VA | $163.02 | not published |
| Sentara Leigh Hospital | Norfolk, VA | $163.02 | not published |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $163.02 | not published |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $163.02 | not published |
| Sentara Obici Hospital | Suffolk, VA | $163.02 | not published |
| Sentara CarePlex Hospital | Hampton, VA | $163.02 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $163.02 | $123.85 – $141.91 |
| Sentara Norfolk General Hospital | Norfolk, VA | $163.02 | not published |
| Mercy Hospital Pittsburg | Pittsburg, KS | $169.00 | $113.41 – $241.57 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $171.12 | $66.49 – $288.08 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $171.12 | $66.49 – $228.16 |