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
MercyOne Dyersville Medical Center Dyersville, IA $397.50 $90.23 – $268.68
MercyOne Clinton Medical Center Clinton, IA $397.50 $46.26 – $238.70
MercyOne Cedar Falls Medical Center Cedar Falls, IA $397.50 $41.39 – $238.70
MercyOne Elkader Medical Center Elkader, IA $397.50 $122.86 – $249.49
MercyOne North Iowa Medical Center Mason City, IA $397.50 $47.74 – $238.70
MercyOne Oelwein Medical Center Oelwein, IA $397.96 $91.23 – $238.70
MercyOne Des Moines Medical Center Des Moines, IA $397.96 $38.96 – $238.70
MercyOne Newton Medical Center Newton, IA $397.96 $47.74 – $238.70
Robert Wood Johnson University Hospital New Brunswick, NJ $399.96 $104.84 – $132.11
OSF Holy Family Medical Center Monmouth, IL $402.40 not published
Sanford Luverne Medical Center Luverne, MN $402.40 $88.12 – $327.60
OSF Saint Clare Medical Center Princeton, IL $402.40 not published
OSF Saint James John W Albrecht Medical Center Pontiac, IL $402.40 not published
OSF Saint Paul Medical Center Mendota, IL $402.40 not published
Sanford Bemidji Medical Center Bemidji, MN $402.60 $1.02 – $232.54
OSF St Francis Hospital Escanaba, MI $406.40 not published
MercyOne Waterloo Medical Center Waterloo, IA $410.96 $47.74 – $238.70
martin north hospital Stuart, FL $438.75 $33.68 – $198.19
HSHS St. Mary's Hospital DECATUR, IL $443.52 $133.36 – $616.00
Rochester General Hospital Rochester, NY $460.69 $101.03 – $237.19
Newark Wayne Community Hospital Newark, NY $460.69 $101.03 – $237.19
Clifton Springs Hospital and Clinic Clifton Springs, NY $460.69 $101.03 – $206.25
UnityPoint Health - Trinity Regional Medical Center Fort Dodge, IA $464.36 $102.78 – $493.38
Sanford Aberdeen Medical Center Aberdeen, SD $469.71 $105.33 – $213.75
OSF Healthcare Saint Katharine Medical Center Dixon, IL $472.50 not published
Henry Ford Rochester Hospital Rochester, MI $486.45 $167.37 – $224.53
MercyOne New Hampton Medical Center New Hampton, IA $495.11 $98.15 – $247.91
Pen Bay Medical Center Rockport, ME $525.05 $95.34 – $113.59
Waldo County General Hospital Belfast, ME $534.83 $77.97 – $182.68
ADVENTIST HEALTH DELANO Delano, CA $540.00 $121.31 – $651.20
MUSC Health Black River Medical Center Cades, SC $541.00 $105.87 – $158.03
MUSC Health Main Campus - Charleston Charleston, SC $541.00 $86.77 – $223.94
MUSC Health Florence Medical Center Florence, SC $541.00 $115.74 – $158.03
MUSC Health Orangeburg Medical Center Orangeburg, SC $541.00 not published
MUSC Health Lancaster Medical Center Lancaster, SC $541.00 $120.93 – $158.03
St. Luke's Health - The Vintage Hospital Houston, TX $545.30 $146.50 – $712.00
Baylor St Luke's Medical Center Houston, TX $545.30 $119.62 – $712.00
St. Luke's Health - Sugar Land Hospital Sugar Land, TX $545.30 $146.50 – $712.00
St. Luke's Health - Springwoods Village Hospital Spring, TX $545.30 $146.50 – $712.00
St. Luke's Health - Lakeside Hospital The Woodlands, TX $545.30 $146.50 – $712.00
Henry Ford St John Hospital Detroit, MI $554.40 $119.63 – $119.63
MUSC Health Kershaw Medical Center Camden, SC $559.50 $87.32 – $158.03
Sanford Worthington Medical Center Worthington, MN $562.40 $1.00 – $379.80
The Unity Hospital of Rochester Rochester, NY $567.00 $101.03 – $206.25
Mansfield Hospital Mansfield, OH $579.01 $118.83 – $123.58
Shelby Hospital Shelby, OH $579.01 $167.52 – $167.52
Abbott Northwestern Hospital MN 55407, MN $581.28 $107.36 – $162.59
Mercy Hospital MN 55443 | 550 Osborne Road NE. Fridley, MN $581.28 $107.36 – $162.59
United Hospital MN | 1175 Nininger Road. Hastings, MN $581.28 $107.36 – $171.16
Mercy Orthopedic Hospital Fort Smith Fort Smith, AR $585.00 $124.72 – $239.88

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