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 |
|---|---|---|---|
| Adventhealth Tampa | Tampa, FL | $689.57 | not published |
| Adventhealth Riverview | Riverview, FL | $689.57 | not published |
| Adventhealth Hendersonville | Hendersonville, NC | $694.61 | not published |
| Sanford Sheldon Medical Center | Sheldon, IA | $695.20 | $153.90 – $486.00 |
| Dell Children's Medical Center (Ascension Seton) | Austin, TX | $695.80 | $134.11 – $134.11 |
| Adventhealth North Pinellas | Tarpon Springs, FL | $702.64 | not published |
| Moanalua Medical Center | HONOLULU, HI | $705.38 | not published |
| Sanford Fargo Medical Center | Fargo, ND | $715.20 | $1.00 – $97.71 |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $731.90 | $108.15 – $241.57 |
| The Unity Hospital of Rochester | Rochester, NY | $739.20 | $138.74 – $266.88 |
| Inova Alexandria Hospital | Alexandria, VA | $742.50 | $193.72 – $482.04 |
| Inova Fairfax Hospital | Falls Church, VA | $742.50 | $193.72 – $482.04 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $742.50 | $193.72 – $482.04 |
| Inova Loudoun Hospital | Leesburg, VA | $742.50 | $193.72 – $482.04 |
| Inova Mount Vernon Hospital | Alexandria, VA | $742.50 | $193.72 – $482.04 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $756.96 | $49.92 – $305.89 |
| OSF Holy Family Medical Center | Monmouth, IL | $759.20 | not published |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $765.06 | $53.21 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $765.06 | $38.66 – $281.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $765.06 | $37.56 – $234.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $765.06 | $50.08 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $765.06 | $60.28 – $281.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $765.06 | $97.03 – $281.70 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $765.06 | $50.08 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $765.06 | $46.95 – $269.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $765.06 | $37.56 – $234.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $765.06 | $34.43 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $765.06 | $34.43 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $765.06 | $53.21 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $765.06 | $87.64 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $765.06 | $34.43 – $281.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $765.06 | $37.56 – $268.77 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $765.06 | $62.60 – $281.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $765.06 | $59.47 – $250.40 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $765.06 | $46.95 – $281.70 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $765.06 | $34.43 – $268.77 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $765.06 | $40.19 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $765.06 | $46.95 – $268.77 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $765.06 | $25.04 – $268.77 |
| OSF St Francis Hospital | Escanaba, MI | $766.40 | not published |
| CHI St. Vincent Hospital Hot Springs | Hot Springs, AR | $771.00 | $74.20 – $169.60 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $776.69 | $52.89 – $748.99 |
| MUSC Health Chester Medical Center | Chester, SC | $778.00 | $120.29 – $205.44 |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $781.60 | not published |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $781.92 | $133.36 – $1,086.00 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $792.00 | $116.15 – $235.71 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $794.40 | $211.01 – $555.30 |
| CHI Saint Joseph Health - Saint Joseph London | London, KY | $863.55 | $21.28 – $135.59 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $872.10 | $134.06 – $311.40 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling, KY | $886.89 | $31.19 – $135.59 |