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
BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON Denton, TX $1,315.71 $55.75 – $380.09
BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY McKinney, TX $1,315.71 $65.07 – $380.09
BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE Waxahachie, TX $1,315.71 $76.02 – $380.09
BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE Waxahachie, TX $1,315.71 $40.54 – $380.09
Wellstar Cobb Hospital Austell, GA $1,413.85 $126.40 – $233.84
Wellstar Douglas Hospital Douglasville, GA $1,413.85 $125.26 – $231.74
Wellstar Kennestone Hospital Marietta, GA $1,413.85 $126.40 – $233.84
Wellstar MCG Health Augusta, GA $1,413.85 $109.05 – $213.74
Wellstar North Fulton Hospital Roswell, GA $1,413.85 $126.40 – $233.84
Wellstar Paulding Hospital Hiram, GA $1,413.85 $126.40 – $233.84
Wellstar Roosevelt Long Term Acute Care at Warm Springs P O Box 280, GA $1,413.85 not published
Wellstar Spalding Regional Hospital Griffin, GA $1,413.85 $124.82 – $244.65
Wellstar Sylvan Grove Hospital Jackson, GA $1,413.85 $201.45 – $201.45
Wellstar West Georgia Medical Center Lagrange, GA $1,413.85 $122.46 – $240.01
Wellstar Windy Hill Hospital Marietta, GA $1,413.85 $201.45 – $201.45
Sanford USD Medical Center Sioux Falls, SD $1,440.00 $1.00 – $256.50
Northwestern Medicine Central DuPage Hospital IL 60190, IL $1,558.20 not published
Northwestern Medicine Delnor Hospital Geneva, IL $1,558.20 not published
SSM Health DePaul Hospital - St. Louis Bridgeton, MO $1,560.21 $114.91 – $181.60
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO $1,560.21 $114.91 – $181.60
SSM Health St. Clare Hospital - Fenton Fenton, MO $1,560.21 $114.91 – $181.60
SSM Health St. Joseph Hospital - St. Charles Saint Charles, MO $1,560.21 $114.91 – $181.60
SSM Health St. Mary's Hospital - St. Louis Richmond Heights, MO $1,560.21 $114.91 – $181.60
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis, MO $1,560.21 $114.91 – $181.60
CHI Health Mercy Council Bluffs Council Bluffs, IA $1,632.96 $16.20 – $104.16
CHI Health Creighton University Medical Center - Bergan Mercy Omaha, NE $1,632.96 $18.36 – $91.80
Lasting Hope Recovery Center Omaha, NE $1,632.96 $18.36 – $102.60
CHI Health Immanuel Omaha, NE $1,632.96 $15.12 – $91.80
CHI Health Lakeside Omaha, NE $1,632.96 $17.28 – $91.80
CHI Health Midlands Papillion, NE $1,632.96 $19.44 – $91.80
St. Joseph’s Hospital and Medical Center Phoenix, AZ $1,685.39 $32.20 – $475.16
CHI Health Nebraska Heart Lincoln, NE $1,788.48 $105.71 – $3,188.16
St. Joseph Health Grimes Hospital Navasota, TX $1,816.68 $105.69 – $2,658.45
St. Joseph Health Burleson Hospital Caldwell, TX $1,816.68 $105.69 – $2,155.50
St. Joseph Health Madison Hospital Madisonville, TX $1,816.68 $105.69 – $2,155.50
St. Joseph Health College Station Hospital College Station, TX $1,816.68 $105.69 – $3,425.73
CHI Health Mercy Corning Corning, IA $1,866.24 $104.16 – $1,693.44
Morristown-Hamblen Hospital Association Morristown, TN $1,875.00 $60.39 – $933.30
CHI Health Missouri Valley Missouri Valley, IA $1,905.12 $104.16 – $1,693.44
Henry Ford Providence Novi Hospital Novi, MI $1,935.36 $105.04 – $146.25
Jackson General Hospital Ripley, WV $1,940.00 $131.00 – $131.00
CHI Health St. Elizabeth Lincoln, NE $1,944.00 $43.70 – $152.00
Princeton Community Hospital Princeton, WV $1,968.50 $126.52 – $736.93
AdventHealth Orlando Orlando, FL $2,033.00 not published
Adventhealth Ocala Ocala, FL $2,096.23 not published
Mercy Medical Center Mt. Shasta Mt Shasta, CA $2,139.50 $103.77 – $1,590.54
West Virginia University Hospitals Morgantown, WV $2,190.50 $82.24 – $536.00
CHI Health St. Francis Grand Island, NE $2,293.92 $24.84 – $101.52
CHI Health Good Samaritan Kearney, NE $2,371.68 $22.68 – $100.44
Camden Clark Medical Center Parkersburg, WV $2,584.00 $126.52 – $221.41

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