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.

Cheapest published cash price

$68.78

26-1214372 NEA Baptist — Jonesboro, AR

Most expensive published cash price

$13,076.30

St. Joseph Medical Center — Tacoma, WA

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
Stephens Memorial Hospital Norway, ME not published $103.75 – $208.94
Garrett Regional Medical Center Oakland, MD not published not published
MEDICAL CITY WEATHERFORD HOSPITAL Weatherford, TX not published $105.46 – $596.27
RESEARCH MEDICAL CENTER Kansas City, MO not published $209.78 – $209.78
MEDICAL CITY MCKINNEY HOSPITAL McKinney, TX not published $102.30 – $596.27
RESEARCH PSYCHIATRIC CENTER Kansas City, MO not published $105.46 – $105.46
North Central Bronx Bronx, NY not published $59.81 – $233.01
Corewell Health Wayne Wayne, MI not published $106.52 – $167.47
Corewell Health Troy Troy, MI not published $115.32 – $167.40
Corewell Health Trenton Trenton, MI not published $106.92 – $167.47
Corewell Health Taylor Taylor, MI not published $107.52 – $167.47
Corewell Health Gross Pointe Grosse Pointe, MI not published $107.03 – $167.47
Corewell Health Zeeland Zeeland, MI not published $102.26 – $223.19
Corewell Health Greenville Greenville, MI not published $102.26 – $223.19
Corewell Health Reed City Po Box 75, MI not published $102.26 – $102.26
Corewell Health Blodgett Hospital East Grand Rapids, MI not published $102.26 – $223.19
Aurora West Allis Medical Center West Allis, WI not published $95.56 – $257.88
Aurora Medical Center Washington County Hartford, WI not published $95.56 – $257.88
Aurora Medical Center Summit Summit, WI not published $95.56 – $257.88
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee, WI not published $95.56 – $257.88
Aurora Psychiatric Hospital Wauwatosa, WI not published $95.56 – $257.88
Aurora Medical Center Kenosha Kenosha, WI not published $95.56 – $257.88
Aurora Medical Center Manitowoc Two Rivers, WI not published $95.56 – $257.88
Aurora Medical Center Grafton Grafton, WI not published $95.56 – $257.88
Aurora Medical Center Bay Area Marinette, WI not published $95.56 – $257.88
Aurora Baycare Medical Center Green Bay, WI not published $95.56 – $257.88
South Brooklyn Health Brooklyn, NY not published $83.83 – $175.54
HCA FLORIDA SOUTH SHORE HOSPITAL PARRISH, FL not published $102.30 – $273.35
Corewell Health Butterworth Hospital Grand Rapids, MI not published $102.26 – $223.19
Corewell Health Gerber Fremont, MI not published $102.26 – $102.26
Corewell Health Big Rapids Big Rapids, MI not published $102.26 – $223.19
SSM Health St. Mary's Hospital - Janesville Janesville, WI not published $94.01 – $195.53
Franklin Memorial Hospital Farmington, ME not published $103.75 – $208.94
SSM Health St. Clare Hospital - Baraboo Baraboo, WI not published $90.66 – $195.53
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS, TX not published $105.46 – $105.46
CHRISTUS St. Vincent Regional Medical Center Santa Fe, NM not published $102.28 – $357.90
CHRISTUS St. Francis Cabrini Hospital Alexandria, LA not published $109.98 – $119.12
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport, LA not published $109.98 – $119.12
CHRISTUS Ochsner St. Patrick Hospital Lake Charles, LA not published $109.98 – $119.12
CHRISTUS Ochsner Lake Area Hospital Lake Charles, LA not published $109.98 – $119.12
CHRISTUS Louisiana Surgical Hospital Alexandria, LA not published $116.01 – $269.51
CHRISTUS Coushatta Health Care Center Coushatta, LA not published $109.98 – $119.12
Uchicago Medicine Adventhealth Glenoaks Glendale Heights, IL not published $133.36 – $216.04
SSM Health Cardinal Glennon Children's Hospital Saint Louis, MO not published $112.25 – $187.41
HCA FLORIDA PASADENA HOSPITAL South Pasadena, FL not published $102.30 – $273.35
Jacobi Medical Center Bronx, NY not published $59.81 – $233.01
Elmhurst Hospital Center NY 11373, NY not published $83.83 – $175.54
Southern Ocean Medical Center Manahawkin, NJ not published $83.76 – $135.16
SSM Health Waupun Memorial Hospital Waupun, WI not published $116.01 – $287.74
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac, WI not published $92.32 – $287.74

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