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
$14,518.08
highest cash price
542
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $105.57–$14,518.08 — 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 | 18 | $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 | 16 | $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 | 13 | $3,182.51 | $6,215.60 | $14,322.55 |
| 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 |
|---|---|---|---|
| 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 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | not published | $90.66 – $258.74 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $233.74 – $478.81 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $138.67 – $152.54 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $119.69 – $233.39 |
| Palisades Medical Center | North Bergen, NJ | not published | $115.75 – $181.31 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $273.92 – $375.40 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $233.74 – $478.81 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $209.78 – $824.03 |
| Adventhealth Ottawa | Ottawa, KS | not published | $117.02 – $198.94 |
| Stephens Memorial Hospital | Norway, ME | not published | $135.45 – $274.29 |
| Garrett Regional Medical Center | Oakland, MD | not published | not published |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $136.37 – $136.37 |
| North Central Bronx | Bronx, NY | not published | $128.93 – $310.68 |
| Corewell Health Wayne | Wayne, MI | not published | $113.46 – $167.47 |
| Corewell Health Troy | Troy, MI | not published | $115.32 – $195.21 |
| Corewell Health Trenton | Trenton, MI | not published | $113.89 – $167.47 |
| Corewell Health Taylor | Taylor, MI | not published | $114.53 – $167.47 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $114.01 – $196.15 |
| Corewell Health Zeeland | Zeeland, MI | not published | $124.00 – $223.19 |
| Corewell Health Greenville | Greenville, MI | not published | $124.00 – $223.19 |
| Corewell Health Reed City | Po Box 75, MI | not published | $141.32 – $141.32 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $124.00 – $223.19 |
| Aurora West Allis Medical Center | West Allis, WI | not published | $136.96 – $338.56 |
| Aurora Medical Center Washington County | Hartford, WI | not published | $136.96 – $338.56 |
| Aurora Medical Center Summit | Summit, WI | not published | $136.96 – $338.56 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | not published | $136.96 – $338.56 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $136.96 – $338.56 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | not published | $136.96 – $338.56 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | not published | $136.96 – $338.56 |
| Aurora Medical Center Grafton | Grafton, WI | not published | $136.96 – $338.56 |
| Aurora Medical Center Burlington | Burlington, WI | not published | $136.96 – $338.56 |
| Aurora Medical Center Bay Area | Marinette, WI | not published | $136.96 – $338.56 |
| Aurora Baycare Medical Center | Green Bay, WI | not published | $136.96 – $338.56 |
| South Brooklyn Health | Brooklyn, NY | not published | $128.93 – $310.68 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $132.28 – $273.35 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $124.00 – $223.19 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | not published | $124.00 – $527.84 |
| Corewell Health Gerber | Fremont, MI | not published | $141.32 – $141.32 |
| Corewell Health Big Rapids | Big Rapids, MI | not published | $124.00 – $223.19 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | not published | $94.01 – $258.74 |
| Franklin Memorial Hospital | Farmington, ME | not published | $135.45 – $274.29 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | not published | $90.66 – $258.74 |
| CHRISTUS Children's Hospital | San Antonio, TX | not published | $376.36 – $376.36 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $136.37 – $942.79 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $147.11 – $343.03 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $147.11 – $286.09 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $147.11 – $387.48 |