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
Henry Ford Wyandotte Hospital: Wyandotte, MI $171.12 $66.49 – $228.16
Henry Ford Macomb Hospital Clinton Twp, MI $171.12 $66.49 – $228.16
Mid Coast Hospital Brunswick, ME $176.37 $103.75 – $208.94
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee, WI $176.49 $126.23 – $316.50
PORTLAND ADVENTIST MEDICAL CENTER Portland, OR $178.88 $113.10 – $770.40
Aurora Medical Center Sheboygan County Sheboygan, WI $180.95 $95.56 – $257.88
Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) Joe, FL $183.14 $158.54 – $368.25
CHI Memorial Hospital Chattanooga Chattanooga, TN $187.82 $59.85 – $285.00
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City, OK $189.79 $119.69 – $233.39
HSHS St. Mary's Hospital Medical Center GREEN BAY, WI $193.38 $103.75 – $273.42
HSHS St. Nicholas Hospital SHEBOYGAN, WI $193.38 $103.75 – $273.83
HSHS St. Vincent Hospital Green Bay, WI $193.38 $103.75 – $271.97
HSHS St. Clare Memorial Hospital OCONTO FALLS, WI $193.38 $103.75 – $209.78
UPMC Cole Coudersport, PA $204.00 $94.25 – $272.00
indian river hospital Vero Beach, FL $207.47 $32.97 – $198.19
Mercy Hospital Aurora Aurora, MO $209.30 $131.08 – $131.08
Aurora Medical Center Burlington Burlington, WI $215.91 $95.56 – $257.88
CHI Saint Joseph Health - Saint Joseph London London, KY $217.32 $40.70 – $259.35
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling, KY $223.19 $59.66 – $259.35
Henry Ford Genesys Hospital Grand Blanc Twp, MI $236.46 $120.94 – $120.94
Summersville Regional Medical Center Summersville, WV $238.50 $171.22 – $171.22
Robert Wood Johnson University Hospital Rahway Rahway, NJ $241.88 $104.84 – $120.40
CHI Saint Joseph Health - Saint Joseph East Lexington, KY $244.62 $69.66 – $259.35
OSF Little Company of Mary Medical Center Evergreen Park, IL $256.20 not published
Mercy Orthopedic Hospital Springfield Ozark, MO $258.05 $108.15 – $241.57
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown, KY $258.39 $50.28 – $259.35
Clara Maass Medical Center Belleville, NJ $266.39 $104.84 – $130.00
UnityPoint Health - Meriter Hospital Madison, WI $272.00 $78.20 – $289.00
Community Medical Center Toms River, NJ $277.78 $104.84 – $126.83
Jersey City Medical Center Jersey City, NJ $278.31 $104.84 – $143.01
Newark Beth Israel Medical Center Newark, NJ $278.98 $104.84 – $130.00
Cooperman Barnabas Medical Center Livingston, NJ $283.81 $104.84 – $130.00
UnityPoint Health - Jones Regional Medical Center Anamosa, IA $285.14 $102.78 – $259.45
CHI Saint Joseph Health - Saint Joseph Hospital Lexington, KY $286.89 $66.95 – $259.35
Mercy Hospital Oklahoma City Oklahoma City, OK $288.60 $115.47 – $334.63
avon hospital Avon, OH $292.50 $29.26 – $227.23
euclid hospital Euclid, OH $292.50 $29.26 – $227.23
fairview hospital Cleveland, OH $292.50 $22.86 – $227.23
lutheran hospital Cleveland, OH $292.50 $29.26 – $227.23
hillcrest hospital Mayfield Heights, OH $292.50 $22.86 – $227.23
marymount hospital Garfield Heights, OH $292.50 $29.26 – $227.23
medina hospital Medina, OH $292.50 $29.26 – $227.23
mercy hospital Canton, OH $292.50 $29.26 – $227.23
south pointe hospital Warrensville Heights, OH $292.50 $29.26 – $227.23
Monmouth Medical Center Long Branch, NJ $293.05 $104.84 – $130.00
CHI Saint Joseph Health - Saint Joseph Berea Berea, KY $293.58 $78.64 – $259.35
CHI St. Vincent Hospital Hot Springs Hot Springs, AR $296.00 $78.40 – $179.20
OSF Sacred Heart Medical Center – Urbana Danville, IL $301.80 not published
OSF Saint Anthony's Health Center Alton, IL $301.80 $133.36 – $136.02
OSF Saint Elizabeth Medical Center Ottawa, IL $301.80 not published

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