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 |
|---|---|---|---|
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $147.11 – $387.48 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $150.01 – $353.82 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $147.11 – $150.16 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $139.34 – $257.36 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $132.28 – $273.35 |
| Jacobi Medical Center | Bronx, NY | not published | $128.93 – $310.68 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $128.93 – $310.68 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | not published | $123.96 – $224.36 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | $115.75 – $177.56 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | not published | $150.01 – $377.75 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | not published | $92.32 – $377.75 |
| Riverview Medical Center | Red Bank, NJ | not published | $115.75 – $177.56 |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | $115.75 – $177.56 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $115.75 – $181.31 |
| Raritan Bay Medical Center | Perth Amboy, NJ | not published | $115.75 – $181.31 |
| Corewell Health Pennock | Hastings, MI | not published | $141.32 – $141.32 |
| Ocean University Medical Center | Brick, NJ | not published | $115.75 – $177.56 |
| Hackensack University Medical Center | Hackensack, NJ | not published | $181.31 – $181.31 |
| Bayshore Medical Center | Holmdel, NJ | not published | $115.75 – $115.75 |
| Advocate Trinity Hospital | Chicago, IL | not published | $233.74 – $478.81 |
| Mid Coast Hospital | Brunswick, ME | not published | $135.45 – $274.29 |
| Harlem Hospital Center | New York, NY | not published | $128.93 – $310.68 |
| Waldo County General Hospital | Belfast, ME | not published | $135.45 – $274.29 |
| Spring Harbor Hospital | Westbrook, ME | not published | $136.32 – $275.13 |
| Pen Bay Medical Center | Rockport, ME | not published | $135.45 – $274.29 |
| Metropolitan Hospital Center | New York, NY | not published | $128.93 – $310.68 |
| Lincoln Medical Center | Bronx, NY | not published | $128.93 – $310.68 |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $233.74 – $478.81 |
| Advocate Sherman Hospital | Elgin, IL | not published | $273.92 – $332.90 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $233.74 – $478.81 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $233.74 – $478.81 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | not published | $122.15 – $257.36 |