healthcosts.net
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm cost at US hospitals
GRAFT SFT TISS GRAFIX AMNIO PRIME 3X4CM 12SQCM-Q4133-COST PER SQ CM · HCPCS Q4133
$394.20
lowest cash price
$6,075.00
national median
$6,075.00
highest cash price
11
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $394.20–$6,075.00 — the variation is the story.
Most expensive published cash price
$6,075.00
University Hospitals Cleveland Medical Center — Cleveland OH 44106|3999 Richmond Road, OHMedian cash price over time
Mar 1, 2026 ($410.40) → Jul 1, 2026 ($6,075.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| New Jersey | 1 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 7 | $6,075.00 | $6,075.00 | $6,075.00 |
| Pennsylvania | 4 | $394.20 | $410.40 | $3,681.60 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca, PA | $394.20 | $87.60 – $558.45 |
| UPMC Williamsport | Williamsport, PA | $410.40 | $136.80 – $615.60 |
| UPMC Mercy | Pittsburgh, PA | $417.60 | $85.17 – $626.40 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $3,681.60 | $85.98 – $591.60 |
| University Hospitals Geneva Medical Center | Geneva, OH | $6,075.00 | $60.60 – $272.70 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $6,075.00 | $93.35 – $342.90 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $6,075.00 | $120.69 – $331.44 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $6,075.00 | $117.73 – $211.92 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $6,075.00 | $117.73 – $211.92 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $6,075.00 | $127.14 – $228.85 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $6,075.00 | $117.73 – $211.92 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $115.75 – $181.31 |