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 |
|---|---|---|---|
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $381.42 – $381.42 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | not published | $273.35 – $273.35 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $381.42 – $381.42 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | not published | $273.35 – $273.35 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | not published | $381.42 – $381.42 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | not published | $381.42 – $381.42 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $381.42 – $381.42 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | not published | $209.78 – $209.78 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE, FL | not published | $381.42 – $381.42 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $381.42 – $381.42 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD, CO | not published | $209.78 – $381.42 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | not published | $209.78 – $381.42 |
| HCA HealthONE SKY RIDGE | Lone Tree, CO | not published | $209.78 – $381.42 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER, CO | not published | $209.78 – $381.42 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver, CO | not published | $209.78 – $209.78 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | not published | $209.78 – $381.42 |
| HCA HealthONE AURORA | Aurora, CO | not published | $209.78 – $381.42 |
| HCA HOUSTON WEST | HOUSTON, TX | not published | $209.78 – $329.56 |
| HCA HOUSTON SOUTHEAST | PASADENA, TX | not published | $209.78 – $329.56 |
| HCA HOUSTON TOMBALL | HOUSTON, TX | not published | $209.78 – $329.56 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD, TX | not published | $209.78 – $329.56 |
| HCA HOUSTON CONROE | CONROE, TX | not published | $209.78 – $329.56 |
| TRICITIES HOSPITAL | HOPEWELL, VA | not published | $336.92 – $336.92 |
| HENRICO DOCTORS HOSPITAL | RICHMOND, VA | not published | $336.92 – $336.92 |
| STONESPRINGS HOSPITAL CENTER | Dulles, VA | not published | $211.98 – $336.92 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg, VA | not published | $336.92 – $336.92 |
| LEWISGALE MEDICAL CENTER | ROANOKE, VA | not published | $381.42 – $381.42 |
| RESTON HOSPITAL CENTER | VIENNA, VA | not published | $211.98 – $336.92 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG, VA | not published | $336.92 – $336.92 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI, VA | not published | $336.92 – $336.92 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR, VA | not published | $336.92 – $336.92 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | not published | $115.91 – $336.92 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $132.28 – $209.78 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $336.92 – $336.92 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $136.37 – $266.65 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $181.32 – $336.92 |
| STONECREST MEDICAL CENTER | Smyrna, TN | not published | $181.32 – $336.92 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $181.32 – $336.92 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | not published | $181.32 – $336.92 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | not published | $181.32 – $336.92 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $181.32 – $336.92 |