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 New Smyrna Beach | New Smyrna Beach, FL | $925.29 | not published |
| Adventhealth Fish Memorial | Orange City, FL | $971.55 | not published |
| CHI Saint Joseph Health - Saint Joseph East | Lexington, KY | $972.06 | $36.42 – $135.59 |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $1,007.99 | $121.70 – $273.83 |
| HSHS St. Vincent Hospital | Green Bay, WI | $1,007.99 | $120.88 – $271.97 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS, WI | $1,007.99 | $127.14 – $248.34 |
| Adventhealth Palm Coast | Palm Coast, FL | $1,017.82 | not published |
| Adventhealth Palm Coast Parkway | Palm Coast, FL | $1,017.82 | not published |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown, KY | $1,026.76 | $26.29 – $135.59 |
| akron general | Akron, OH | $1,103.05 | $116.03 – $472.50 |
| Adventhealth Daytona Beach | Daytona Beach, FL | $1,110.35 | not published |
| AdventHealth Deland | Deland, FL | $1,110.35 | not published |
| Ascension St. Francis Hospital, Inc. | Milwaukee, WI | $1,123.34 | $157.70 – $890.19 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $1,126.25 | $157.70 – $418.98 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $1,132.47 | not published |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $1,132.47 | not published |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $1,132.47 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $1,132.47 | not published |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $1,132.47 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $1,132.47 | not published |
| Texas Health Presbyterian Hospital Denton | Denton, TX | $1,132.47 | not published |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $1,132.47 | not published |
| Texas Health Hospital Frisco | Frisco, TX | $1,132.47 | not published |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $1,132.47 | not published |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $1,132.47 | not published |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $1,132.47 | not published |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $1,132.47 | not published |
| Texas Health Hospital Rockwall | Rockwall, TX | $1,132.47 | not published |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $1,132.47 | not published |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $1,132.47 | not published |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $1,132.47 | not published |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $1,132.47 | not published |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $1,132.47 | not published |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea, KY | $1,166.58 | $41.11 – $135.59 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $1,218.76 | $35.01 – $135.59 |
| cleveland clinic main campus | Cleveland, OH | $1,235.00 | $32.75 – $129.51 |
| avon hospital | Avon, OH | $1,235.00 | $51.85 – $298.31 |
| euclid hospital | Euclid, OH | $1,235.00 | $51.85 – $298.31 |
| fairview hospital | Cleveland, OH | $1,235.00 | $40.52 – $298.31 |
| lutheran hospital | Cleveland, OH | $1,235.00 | $51.85 – $298.31 |
| hillcrest hospital | Mayfield Heights, OH | $1,235.00 | $40.52 – $298.31 |
| marymount hospital | Garfield Heights, OH | $1,235.00 | $51.85 – $298.31 |
| medina hospital | Medina, OH | $1,235.00 | $51.85 – $298.31 |
| mercy hospital | Canton, OH | $1,235.00 | $51.85 – $298.31 |
| south pointe hospital | Warrensville Heights, OH | $1,235.00 | $51.85 – $298.31 |
| Atrium Health Anson | Wadesboro, NC | $1,250.00 | $116.69 – $741.00 |
| Atrium Health Mercy | Charlotte, NC | $1,250.00 | $134.37 – $717.60 |
| Atrium Health Pineville | Charlotte, NC | $1,250.00 | $78.00 – $717.60 |
| Atrium Health Stanly | Albermarle, NC | $1,250.00 | $93.60 – $748.80 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $1,250.00 | $135.71 – $686.40 |