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
OSF St Joseph Medical Center Bloomington, IL $301.80 not published
OSF St Mary Medical Center Galesburg, IL $301.80 not published
MENORAH MEDICAL CENTER Overland Park, KS $303.30 $209.78 – $209.78
OSF Saint Anthony Medical Center Rockford, IL $307.20 $58.83 – $466.75
OSF Saint Francis Medical Center Peoria, IL $307.20 $58.83 – $453.36
Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ $307.33 $104.84 – $126.83
UnityPoint Health - Finley Hospital Dubuque, IA $307.33 $99.05 – $307.33
HSHS St. Anthony's Memorial Hospital Mattoon, IL $308.88 $142.83 – $429.00
Dickenson Community Hospital CLINTWOOD, VA $310.27 $108.70 – $116.00
Hancock County Hospital SNEEDVILLE, TN $310.27 $60.39 – $116.00
Lee County Community Hospital PENNINGTON GAP, VA $310.27 $108.70 – $116.00
Johnson County Community Hospital MOUNTAIN CITY, TN $310.27 $108.70 – $116.00
Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) Pensacola, FL $311.20 $158.54 – $360.43
Aurora Medical Center Fond du Lac Fond Du Lac, WI $314.50 $95.56 – $257.88
Sanford Thief River Falls Medical Center Thief River Falls, MN $315.20 $71.45 – $187.20
Sanford Behavioral Health Thief River Falls Thief River Falls, MN $315.20 $71.45 – $187.20
Bristol Regional Medical Center BRISTOL, TN $316.20 $72.47 – $257.36
Franklin Woods Community Hospital JOHNSON CITY, TN $316.20 $102.50 – $246.32
Greeneville Community Hospital GREENEVILLE, TN $316.20 $43.48 – $253.15
Hawkins County Memorial Hospital ROGERSVILLE, TN $316.20 $60.39 – $246.13
Holston Valley Medical Center KINGSPORT, TN $316.20 $72.47 – $257.36
Indian Path Community Hospital KINGSPORT, TN $316.20 $108.70 – $246.13
Johnson City Medical Center JOHNSON CITY, TN $316.20 $108.70 – $253.15
Johnston Memorial Hospital ABINGDON, VA $316.20 $108.70 – $264.69
Lonesome Pine Hospital BIG STONE GAP, VA $316.20 $60.39 – $264.69
Russell County Hospital LEBANON, VA $316.20 $108.70 – $264.69
Smyth County Community Hospital MARION, VA $316.20 $108.70 – $264.69
Sycamore Shoals Hospital ELIZABETHTON, TN $316.20 $108.70 – $246.13
Robert Wood Johnson University Hospital Somerset Somerville, NJ $316.89 $104.84 – $126.83
Monmouth Medical Center Southern Campus Lakewood, NJ $318.36 $104.84 – $130.00
UPMC Altoona Altoona, PA $319.20 $36.53 – $425.60
OVERLAND PARK REGIONAL MEDICAL CENTER SHAWNEE, KS $320.65 $209.78 – $209.78
HSHS St. Francis Hospital LITCHFIELD, IL $324.00 $209.78 – $450.00
HSHS St. Joseph's Hospital HIGHLAND, IL $324.00 $209.78 – $450.00
UPMC Hamot Erie, PA $328.80 $36.53 – $235.18
UPMC Bedford Everett, PA $328.80 $63.79 – $493.20
HSHS St. John's Hospital IL 62769|301 N. 8th St., IL $335.52 $0.01 – $333.39
Mercy Hospital Berryville Berryville, AR $336.70 $127.14 – $127.14
Methodist Medical Center of Oak Ridge Oak Ridge, TN $342.21 $60.39 – $933.30
Ascension Saint Thomas Rutherford Murfreesboro, TN $343.64 $126.58 – $223.06
Trinitas Regional Medical Center Elizabeth, NJ $351.95 $110.00 – $644.71
Potomac Valley Hospital Keyser, WV $353.00 $171.22 – $171.22
Weirton Medical Center Weirton, WV $353.00 $126.52 – $643.91
Ascension Sacred Heart Bay (Bay County Health System, Inc.) Panama City, FL $358.00 $128.66 – $368.24
Mercy Hospital Ardmore Northwest Ardmore, OK $365.95 $115.47 – $359.82
akron general Akron, OH $384.51 $117.73 – $532.40
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg, CA $390.72 $20.67 – $203.21
New Ulm Medical Center MN 56073, MN $394.35 $35.02 – $273.43
Uniontown Hospital Uniontown, PA $397.00 $126.52 – $294.79
MercyOne Dubuque Medical Center Dubuque, IA $397.50 $46.26 – $238.70

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