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 |
|---|---|---|---|
| Sentara Norfolk General Hospital | Norfolk, VA | $198.64 | not published |
| Banner Gateway Medical Center | Gilbert, AZ | $198.96 | $67.05 – $739.22 |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland, OR | $212.16 | $113.10 – $1,591.20 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $229.02 | $127.26 – $203.21 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $236.00 | $97.12 – $477.30 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $237.81 | $133.36 – $216.04 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $237.81 | $130.56 – $216.04 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $237.81 | $130.56 – $216.04 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $237.81 | $133.36 – $216.04 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $241.99 | $82.31 – $402.52 |
| East Morgan County Hospital | Brush, CO | $248.94 | $196.08 – $451.34 |
| Emory Long-Term Acute Care Hospital | Decatur, GA | $251.15 | not published |
| Emory Decatur Hospital | Decatur, GA | $251.15 | not published |
| Emory Hillandale Hospital | Lithonia, GA | $251.15 | not published |
| Emory Johns Creek Hospital | Johns Creek, GA | $251.15 | not published |
| Emory Rehabilitation Hospital | Atlanta, GA | $251.15 | not published |
| Emory Saint Joseph's Hospital | Atlanta, GA | $251.15 | not published |
| Emory University Hospital | Ne, GA | $251.15 | not published |
| Emory University Hospital Midtown | Atlanta, GA | $251.15 | not published |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $252.54 | not published |
| Sentara RMH Medical Center | Harrisonburg, VA | $252.54 | not published |
| Banner Fort Collins Medical Center | Fort Collins, CO | $267.27 | $128.86 – $748.99 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $277.60 | $136.20 – $331.72 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $277.60 | $136.37 – $331.72 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $277.60 | $136.37 – $331.72 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $277.60 | $136.37 – $331.72 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $277.60 | $136.37 – $331.72 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $277.60 | $63.31 – $141.66 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $277.60 | $63.31 – $162.14 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $277.60 | $53.73 – $141.66 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $277.60 | $136.37 – $331.72 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $277.60 | $136.37 – $331.72 |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $284.90 | not published |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | $289.98 | $138.75 – $158.06 |
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $310.36 | not published |
| Clara Maass Medical Center | Belleville, NJ | $319.37 | $138.75 – $170.66 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $323.05 | $124.72 – $205.80 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | $330.00 | $136.96 – $338.56 |
| CHI Memorial Hospital - Georgia | Ringgold, GA | $330.93 | $46.35 – $250.29 |
| CHI Memorial Hospital Hixson | Hixson, TN | $330.93 | $61.80 – $309.00 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $332.80 | $115.47 – $359.82 |
| Community Medical Center | Toms River, NJ | $333.02 | $138.75 – $166.50 |
| Jersey City Medical Center | Jersey City, NJ | $333.66 | $90.06 – $166.50 |
| Mercy Hospital Ozark | River Ozark, AR | $334.10 | $129.91 – $129.91 |
| Mercy Hospital Paris | Academy Paris, AR | $334.10 | $129.91 – $129.91 |
| Mercy Hospital Waldron | Waldron, AR | $334.10 | $129.91 – $129.91 |
| Mercy Hospital Berryville | Berryville, AR | $334.10 | $127.14 – $129.91 |
| Mercy Hospital Boonville | Booneville, AR | $334.10 | $129.91 – $129.91 |
| Newark Beth Israel Medical Center | Newark, NJ | $334.46 | $138.75 – $170.66 |
| Cooperman Barnabas Medical Center | Livingston, NJ | $340.24 | $138.75 – $170.66 |