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
$105.57
lowest cash price
$1,132.47
national median
$14,976.00
highest cash price
543
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $105.57–$14,976.00 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($2,655.50) → Sep 1, 2026 ($742.50)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 1 | $12,425.40 | $12,425.40 | $12,425.40 |
| Arizona | 16 | $114.00 | $181.72 | $5,573.06 |
| Arkansas | 7 | $323.05 | $334.10 | $771.00 |
| California | 72 | $119.10 | $6,630.00 | $14,518.08 |
| Colorado | 15 | $248.94 | $438.83 | $776.69 |
| Florida | 47 | $543.15 | $1,017.82 | $6,329.68 |
| Georgia | 22 | $251.15 | $5,089.62 | $13,133.38 |
| Hawaii | 1 | $705.38 | $705.38 | $705.38 |
| Illinois | 37 | $155.93 | $588.60 | $6,142.80 |
| Indiana | 14 | $3,468.00 | $5,781.00 | $6,057.00 |
| Iowa | 31 | $277.60 | $414.05 | $6,142.80 |
| Kansas | 4 | $403.65 | $403.65 | $403.65 |
| Kentucky | 17 | $863.55 | $10,595.70 | $10,595.70 |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | $2,655.50 | $2,655.50 | $2,655.50 |
| Maryland | 1 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 25 | $171.12 | $576.69 | $1,904.00 |
| Minnesota | 5 | $348.00 | $596.00 | $682.40 |
| Missouri | 16 | $627.90 | $2,369.10 | $2,369.10 |
| Montana | 2 | $11,520.00 | $11,520.00 | $11,520.00 |
| Nebraska | 12 | $2,940.00 | $3,220.00 | $5,950.00 |
| Nevada | 3 | $1,615.90 | $10,112.86 | $11,198.14 |
| New Hampshire | 1 | $3,350.00 | $3,350.00 | $3,350.00 |
| New Jersey | 21 | $289.98 | $340.24 | $479.49 |
| New Mexico | 1 | not published by hospital | not published by hospital | not published by hospital |
| New York | 17 | $127.14 | $127.14 | $739.20 |
| North Carolina | 14 | $310.36 | $1,250.00 | $1,250.00 |
| North Dakota | 2 | $546.34 | $546.34 | $715.20 |
| Ohio | 47 | $119.50 | $1,235.00 | $6,075.00 |
| Oklahoma | 9 | $332.80 | $543.12 | $5,056.08 |
| Oregon | 4 | $212.16 | $4,556.00 | $5,540.40 |
| Pennsylvania | 14 | $236.00 | $417.60 | $3,681.60 |
| South Carolina | 9 | $635.50 | $635.50 | $778.00 |
| South Dakota | 3 | $792.00 | $794.40 | $1,589.60 |
| Tennessee | 33 | $330.93 | $1,520.10 | $4,900.50 |
| Texas | 98 | $167.06 | $1,132.47 | $10,254.00 |
| Virginia | 32 | $105.57 | $742.50 | $14,394.15 |
| Washington | 15 | $3,182.51 | $6,215.60 | $14,976.00 |
| West Virginia | 17 | $119.50 | $143.50 | $10,595.70 |
| Wisconsin | 31 | $159.20 | $1,007.99 | $4,770.00 |
| Wyoming | 2 | $195.43 | $195.43 | $502.04 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $6,142.80 | $342.72 – $931.77 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $6,142.80 | $1,179.80 – $2,533.10 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $6,142.80 | $1,561.50 – $1,630.90 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | $6,210.45 | $134.11 – $134.11 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | $6,210.45 | $134.11 – $134.11 |
| MultiCare Auburn Medical Center | Auburn, WA | $6,215.60 | $141.62 – $597.36 |
| MultiCare Capital Medical Center | Olympia, WA | $6,215.60 | $141.22 – $643.84 |
| MultiCare Covington Medical Center | Covington, WA | $6,215.60 | $141.62 – $597.36 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $6,215.60 | $142.33 – $597.36 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $6,215.60 | $146.60 – $999.96 |
| MultiCare Valley Hospital | Spokane Valley, WA | $6,215.60 | $139.98 – $565.77 |
| MultiCare Allenmore Hospital | Tacoma, WA | $6,215.60 | $142.33 – $597.36 |
| MultiCare Deaconess Hospital | Spokane, WA | $6,215.60 | $135.90 – $567.04 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | $6,329.68 | $166.37 – $340.92 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $6,329.68 | $166.37 – $398.55 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | $6,329.68 | $166.37 – $398.55 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $6,329.68 | $166.37 – $340.92 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $6,380.20 | $134.06 – $1,307.32 |
| California Hospital Medical Center | Los Angeles, CA | $6,581.45 | $120.65 – $1,702.45 |
| Orange County Anaheim Medical Center | Anaheim, CA | $6,630.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $6,630.00 | not published |
| Downey Medical Center | Downey, CA | $6,630.00 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $6,630.00 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $6,630.00 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $6,630.00 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $6,630.00 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $6,630.00 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $6,630.00 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $6,630.00 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $6,630.00 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $6,630.00 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $6,630.00 | not published |
| Community Hospital San Bernardino | San Bernardino, CA | $6,899.20 | $134.06 – $2,155.00 |
| Redwood City Medical Center | Redwood City, CA | $7,140.00 | not published |
| Oakland Medical Center | Oakland, CA | $7,140.00 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $7,140.00 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $7,140.00 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $7,140.00 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $7,140.00 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $7,140.00 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $7,140.00 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $7,140.00 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $7,140.00 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $7,140.00 | not published |
| Vallejo Medical Center | VALLEJO, CA | $7,140.00 | not published |
| Antioch Medical Center | ANTIOCH, CA | $7,140.00 | not published |
| Fremont Medical Center | FREMONT, CA | $7,140.00 | not published |
| Fresno Medical Center | FRESNO, CA | $7,140.00 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $7,140.00 | not published |
| San Jose Medical Center | SAN JOSE, CA | $7,140.00 | not published |