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 |
|---|---|---|---|
| San Francisco Medical Center | SAN FRANCISCO, CA | $7,140.00 | not published |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $7,202.43 | $134.11 – $134.11 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $7,202.43 | $134.11 – $134.11 |
| St. Mary Medical Center | Long Beach, CA | $7,587.35 | $120.65 – $2,155.00 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $8,559.23 | $134.06 – $1,048.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $9,795.72 | $157.50 – $4,648.77 |
| San Martin Hospital | Las Vegas, NV | $10,112.86 | $123.04 – $2,068.62 |
| HCA HOUSTON NORTHWEST | SPRING, TX | $10,254.00 | $209.78 – $329.56 |
| Mercy Medical Center Mt. Shasta | Mt Shasta, CA | $10,345.85 | $134.06 – $1,590.54 |
| Beckley ARH Hospital | Beckley, WV | $10,595.70 | not published |
| Whitesburg ARH Hospital | Whitesburg, KY | $10,595.70 | $160.59 – $160.59 |
| Harlan ARH Hospital | KY 40831, KY | $10,595.70 | $160.59 – $160.59 |
| Middlesboro ARH Hospital | Middlesboro, KY | $10,595.70 | $160.59 – $160.59 |
| Morgan County ARH Hospital | Liberty, KY | $10,595.70 | $160.59 – $160.59 |
| Mary Breckinridge ARH Hospital | Hayden, KY | $10,595.70 | $160.59 – $160.59 |
| ARH Our Lady of the Way Hospital | Martin, KY | $10,595.70 | $160.59 – $160.59 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $10,595.70 | $160.59 – $160.59 |
| Hazard ARH Regional Medical Center | Hazard, KY | $10,595.70 | $160.59 – $160.59 |
| Barbourville ARH Hospital | Barbourville, KY | $10,595.70 | $160.59 – $160.59 |
| Paintsville ARH Hospital | Paintsville, KY | $10,595.70 | $163.61 – $163.61 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $10,924.20 | $160.06 – $293.20 |
| Redwood Memorial Hospital | Fortuna, CA | $10,924.20 | $253.32 – $272.35 |
| Mercy General Hospital | Sacramento, CA | $10,989.38 | $134.06 – $4,223.05 |
| Siena Hospital | Henderson, NV | $11,198.14 | $123.04 – $2,068.62 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $11,520.00 | $128.41 – $420.38 |
| Mercy Medical Center Merced | Merced, CA | $11,994.35 | $134.06 – $731.52 |
| Providence Valdez Medical Center | Valdez, AK | $12,425.40 | not published |
| Healdsburg Hospital | Healdsburg, CA | $12,852.00 | $167.67 – $499.01 |
| Adventhealth Gordon | Calhoun, GA | $13,133.38 | not published |
| Kadlec Regional Medical Center | Richland, WA | $13,167.00 | $138.67 – $256.55 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $13,167.00 | $160.06 – $296.10 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $13,167.00 | $160.06 – $296.10 |
| Providence Saint Joseph Medical Center | Burbank, CA | $13,167.00 | $160.06 – $296.10 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $13,167.00 | $160.06 – $296.10 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $13,167.00 | $160.06 – $296.10 |
| Providence Saint John's Health Center | Santa Monica, CA | $13,167.00 | $160.06 – $296.10 |
| Mercy San Juan Medical Center | Carmichael, CA | $13,812.34 | $134.06 – $4,033.25 |
| Woodland Memorial Hospital | Woodland, CA | $13,812.34 | $134.06 – $4,745.00 |
| St. Clare Hospital | Lakewood, WA | $14,322.55 | $394.64 – $1,368.24 |
| Southampton Medical Center | Franklin, VA | $14,394.15 | not published |
| Methodist Hospital of Sacramento | Sacramento, CA | $14,518.08 | $134.06 – $4,270.50 |
| Providence St Peter Hospital | Olympia, WA | $14,976.00 | $121.65 – $467.29 |
| Providence Centralia Hospital | Centralia, WA | $14,976.00 | $144.11 – $874.79 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $209.78 – $209.78 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $209.78 – $209.78 |
| MENORAH MEDICAL CENTER | Overland Park, KS | not published | $209.78 – $209.78 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $209.78 – $209.78 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $209.78 – $209.78 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $209.78 – $209.78 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $209.78 – $209.78 |