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
Riverside Methodist Hospital Columbus, OH $595.15 $119.99 – $286.42
Dublin Methodist Hospital Dublin, OH $595.15 $119.99 – $286.42
Grant Medical Center Columbus, OH $595.15 $119.99 – $286.42
Doctors Hospital Columbus, OH $595.15 $122.62 – $286.42
O'Bleness Hospital Athens, OH $599.64 $118.83 – $120.01
Van Wert Hospital Van Wert, OH $599.64 $127.79 – $130.34
Grady Memorial Hospital Delaware, OH $599.64 $119.99 – $124.79
Berger Hospital Circleville, OH $599.64 $119.99 – $179.67
Southeastern Medical Center Cambridge, OH $599.64 $117.73 – $122.44
Hardin Memorial Hospital Kenton, OH $599.64 $179.67 – $179.67
Marion General Hospital Marion, OH $599.64 $118.83 – $123.58
Adventhealth Wesley Chapel Wesley Chapel, FL $608.58 not published
MercyOne Centerville Medical Center Centerville, IA $611.54 $65.50 – $238.70
MercyOne West Des Moines Medical Center West Des Moines, IA $612.24 $38.96 – $238.70
UnityPoint Health - Trinity Bettendorf Bettendorf, IA $629.84 $102.04 – $187.89
UnityPoint Health - Trinity Moline Rock Island, IL $629.84 $99.05 – $187.89
UnityPoint Health - Trinity Muscatine Muscatine, IA $629.84 $86.60 – $187.51
Sanford Medical Center Bismarck Bismarck, ND $630.00 $68.02 – $193.05
Henry Ford Warren Hospital Warren, MI $637.84 $119.63 – $119.63
UnityPoint Health - Allen Hospital Waterloo, IA $649.16 $102.78 – $204.52
UnityPoint Health - Marshalltown Marshalltown, IA $649.16 $102.78 – $287.18
MUSC Health Chester Medical Center Chester, SC $663.00 $120.00 – $158.03
AdventHealth New Smyrna Beach New Smyrna Beach, FL $676.05 not published
Allina Health Faribault Medical Center Faribualt, MN $678.16 $61.67 – $181.87
Buffalo Hospital Buffalo, MN $678.16 $61.67 – $181.87
Cambridge Medical Center Cambridge, MN $678.16 $61.67 – $181.87
River Falls Area Hospital River Falls, MN $678.16 $38.54 – $273.43
Owatonna Hospital Owatonna, MN $678.16 $61.67 – $181.87
Adventhealth Fish Memorial Orange City, FL $709.85 not published
Mercy Hospital Southeast Cape Girardeau, MO $711.10 $83.91 – $799.71
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA $729.00 $101.03 – $209.43
Massena Hospital Massena, NY $731.25 not published
Adventhealth Palm Coast Palm Coast, FL $743.66 not published
Adventhealth Palm Coast Parkway Palm Coast, FL $743.66 not published
Sanford Fargo Medical Center Fargo, ND $756.00 $1.00 – $205.20
Adventhealth Shawnee Mission Shawnee Mission, KS $803.54 not published
Adventhealth South Overland Park Overland Park, KS $803.54 not published
Adventhealth Ottawa Ottawa, KS $803.54 not published
St. Luke's Health - Patients Medical Center Pasadena, TX $811.08 $146.50 – $1,738.02
Adventhealth Tampa Tampa, FL $811.26 not published
Adventhealth Riverview Riverview, FL $811.26 not published
Inova Alexandria Hospital Alexandria, VA $816.86 $141.06 – $329.94
Inova Fairfax Hospital Falls Church, VA $816.86 $141.06 – $329.94
Inova Fair Oaks Hospital VA 22033-1709, VA $816.86 $141.06 – $329.94
Inova Loudoun Hospital Leesburg, VA $816.86 $141.06 – $329.94
Inova Mount Vernon Hospital Alexandria, VA $816.86 $141.06 – $329.94
Adventhealth North Pinellas Tarpon Springs, FL $826.64 not published
St. Joseph's Hospital Buckhannon, WV $828.00 $140.00 – $140.00
Atrium Health Anson Wadesboro, NC $850.00 $47.12 – $299.25
Atrium Health Mercy Charlotte, NC $850.00 $56.61 – $289.80

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