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
University Hospitals Ahuja Medical Center Beachwood, OH $6,187.50 $26.74 – $211.92
Providence St Joseph Hospital Eureka Eureka, CA $6,357.61 $160.06 – $1,802.00
Redwood Memorial Hospital Fortuna, CA $6,357.61 $197.08 – $1,847.00
Mercy General Hospital Sacramento, CA $6,501.85 $103.77 – $1,917.95
San Martin Hospital Las Vegas, NV $6,553.44 $55.02 – $2,068.62
Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) Fishers, IN $6,651.60 $37.56 – $111.98
UPMC Chautauqua Jamestown, NY $6,744.00 $104.12 – $493.20
St Patrick Hospital - Broadway Campus Missoula, MT $6,976.80 $128.41 – $304.20
Providence Valdez Medical Center Valdez, AK $7,082.48 not published
Siena Hospital Henderson, NV $7,256.74 $55.02 – $2,068.62
Providence Cedars-Sinai Tarzana Medical Center Tarzana, CA $7,541.10 $160.06 – $353.00
Providence Holy Cross Medical Center Mission Hills, CA $7,541.10 $160.06 – $353.00
Providence Little Co of Mary Med Center San Pedro San Pedro, CA $7,541.10 $160.06 – $353.00
Providence Little Company of Mary Med Center Torrance Torrance, CA $7,541.10 $160.06 – $353.00
Providence Saint Joseph Medical Center Burbank, CA $7,541.10 $160.06 – $353.00
Providence Saint John's Health Center Santa Monica, CA $7,541.10 $160.06 – $296.10
Kadlec Regional Medical Center Richland, WA $7,577.01 $131.25 – $256.55
Healdsburg Hospital Healdsburg, CA $7,587.27 $167.67 – $721.00
Woodland Memorial Hospital Woodland, CA $8,172.05 $103.77 – $2,155.00
Mercy San Juan Medical Center Carmichael, CA $8,172.05 $103.77 – $1,831.75
Cumberland Medical Center, Inc. Crossville, TN $8,208.00 $72.47 – $933.30
Fort Sanders Regional Medical Center Knoxville, TN $8,464.50 $60.39 – $933.30
Southampton Medical Center Franklin, VA $8,487.58 not published
Methodist Hospital of Sacramento Sacramento, CA $8,589.60 $103.77 – $1,939.50
Providence St Mary Medical Center Walla Walla, WA $8,905.68 $138.67 – $641.52
Sierra Nevada Memorial Hospital Grass Valley, CA $9,018.12 $103.77 – $2,912.56
Orange County Anaheim Medical Center Anaheim, CA $9,266.40 not published
Baldwin Park Medical Center BALDWIN PARK, CA $9,266.40 not published
Downey Medical Center Downey, CA $9,266.40 not published
San Bernardino - Fontana Medical Center FONTANA, CA $9,266.40 not published
Riverside Medical Center RIVERSIDE, CA $9,266.40 not published
South Bay Medical Center HARBOR CITY, CA $9,266.40 not published
San Marcos Medical Center SAN MARCOS, CA $9,266.40 not published
West Los Angeles Medical Center LOS ANGELES, CA $9,266.40 not published
Woodland Hills Medical Center WOODLAND HILLS, CA $9,266.40 not published
Panorama Medical Center PANORAMA CITY, CA $9,266.40 not published
San Diego Clairemont Mesa Medical Center SAN DIEGO, CA $9,266.40 not published
Los Angeles Sunset Medical Center LOS ANGELES, CA $9,266.40 not published
Moreno Valley Medical Center MORENO VALLEY, CA $9,266.40 not published
Providence St Joseph Hospital Chewelah, WA $9,480.24 not published
Providence Mount Carmel Hospital Colville, WA $9,480.24 not published
Providence St Joseph Hospital Orange Orange, CA $9,504.86 $136.05 – $1,535.00
Covenant Medical Center Lubbock, TX $9,889.61 $125.01 – $344.89
Covenant Hospital Plainview Plainview, TX $9,889.61 $121.26 – $131.89
Covenant Children's Hospital Lubbock, TX $9,889.61 $154.56 – $394.33
Covenant Hospital Levelland Levelland, TX $9,889.61 $121.26 – $131.89
Covenant Health Hobbs Hospital Hobbs, NM $9,889.61 not published
Covenant Specialty Hospital Lubbock, TX $9,889.61 not published
Providence Holy Family Hospital Spokane, WA $9,892.48 $112.51 – $256.55
Providence Sacred Heart Medical Center and Children's Hospital Spokane, WA $9,892.48 $112.51 – $256.55

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