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 |
|---|---|---|---|
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $181.32 – $336.92 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $181.32 – $336.92 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN, KY | not published | $209.78 – $209.78 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $209.78 – $824.03 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $209.78 – $824.03 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $209.78 – $824.03 |
| Kettering Health Troy | Troy, OH | not published | $121.96 – $380.47 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $123.38 – $380.47 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $121.96 – $380.47 |
| Soin Medical Center | Beaver Creek, OH | not published | $122.62 – $380.47 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $122.62 – $380.47 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $123.38 – $380.47 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $122.62 – $380.47 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $148.46 – $248.89 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $108.80 – $126.93 |
| Gouverneur Hospital | Gouverneur, NY | not published | $266.88 – $266.88 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | not published | $103.97 – $266.88 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $209.78 – $824.03 |
| OSF Saint Anthony's Health Center | Alton, IL | not published | $133.36 – $136.02 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | not published | $131.66 – $378.72 |
| Parkview Ortho Hospital | Fort Wayne, IN | not published | $131.66 – $378.72 |
| Parkview Noble Hospital | Kendallville, IN | not published | $131.66 – $378.72 |
| Parkview Wabash Hospital | Wabash, IN | not published | $209.78 – $378.72 |
| Parkview LaGrange Hospital | Lagrange, IN | not published | $209.78 – $378.72 |
| Parkview Huntington Hospital | Huntington, IN | not published | $131.66 – $378.72 |
| Parkview DeKalb Hospital | Auburn, IN | not published | $131.66 – $378.72 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | not published | $131.66 – $378.72 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $209.78 – $824.03 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $136.37 – $319.42 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $136.37 – $287.48 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $1.26 – $137.37 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $147.66 – $162.43 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $134.23 – $433.28 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $136.37 – $287.48 |
| Roane County Medical Center | Harriman, TN | not published | $112.91 – $118.56 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $136.37 – $433.28 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $134.23 – $433.28 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $134.23 – $433.28 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $136.37 – $319.42 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $136.37 – $659.68 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $136.37 – $136.37 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $136.37 – $136.37 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $1.26 – $137.37 |
| SSM Health Ripon Community Hospital | Ripon, WI | not published | $150.01 – $377.75 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $120.88 – $371.27 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $119.69 – $233.39 |
| Providence St Joseph Medical Center | Polson, MT | not published | $306.40 – $420.38 |
| Adventhealth Redmond | Rome, GA | not published | $129.34 – $359.56 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $132.28 – $273.35 |
| cleveland clinic florida weston hospital | Weston, FL | not published | $128.90 – $142.95 |