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 |
|---|---|---|---|
| Atrium Health Cleveland | Shelby, NC | $1,250.00 | $109.20 – $741.00 |
| Atrium Health Cabarrus | Concord, NC | $1,250.00 | $95.71 – $741.00 |
| Atrium Health Lincoln | Lincolnton, NC | $1,250.00 | $87.98 – $741.00 |
| Atrium Health Union | Monroe, NC | $1,250.00 | $101.40 – $741.00 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $1,250.00 | $135.71 – $717.60 |
| Atrium Health University City | Charlotte, NC | $1,250.00 | $78.00 – $717.60 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $1,250.00 | $134.37 – $702.00 |
| Adventhealth Carrollwood | Tampa, FL | $1,357.75 | not published |
| Dickenson Community Hospital | CLINTWOOD, VA | $1,491.55 | $1.00 – $1.00 |
| Lee County Community Hospital | PENNINGTON GAP, VA | $1,491.55 | $1.00 – $1.00 |
| Johnson County Community Hospital | MOUNTAIN CITY, TN | $1,491.55 | $1.00 – $1.00 |
| Thomas Hospitals | South Charleston, WV | $1,492.50 | $126.52 – $640.31 |
| HCA HOUSTON PEARLAND | Pearland, TX | $1,511.00 | $209.78 – $329.56 |
| Bristol Regional Medical Center | BRISTOL, TN | $1,520.10 | $1.00 – $257.36 |
| Franklin Woods Community Hospital | JOHNSON CITY, TN | $1,520.10 | $0.88 – $246.32 |
| Greeneville Community Hospital | GREENEVILLE, TN | $1,520.10 | $1.00 – $253.15 |
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $1,520.10 | $1.00 – $246.13 |
| Holston Valley Medical Center | KINGSPORT, TN | $1,520.10 | $1.00 – $257.36 |
| Indian Path Community Hospital | KINGSPORT, TN | $1,520.10 | $1.00 – $246.13 |
| Johnson City Medical Center | JOHNSON CITY, TN | $1,520.10 | $1.00 – $253.15 |
| Johnston Memorial Hospital | ABINGDON, VA | $1,520.10 | $1.00 – $264.69 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $1,520.10 | $1.00 – $264.69 |
| Russell County Hospital | LEBANON, VA | $1,520.10 | $1.00 – $264.69 |
| Smyth County Community Hospital | MARION, VA | $1,520.10 | $1.00 – $264.69 |
| Sycamore Shoals Hospital | ELIZABETHTON, TN | $1,520.10 | $1.00 – $246.13 |
| Northwestern Memorial Hospital | Chicago, IL | $1,527.88 | not published |
| Sanford USD Medical Center | Sioux Falls, SD | $1,589.60 | $1.00 – $174.49 |
| Rose de Lima Hospital | Henderson, NV | $1,615.90 | $123.04 – $3,509.34 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $1,684.90 | not published |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $1,684.90 | not published |
| Trinity Medical Center East | Steubenville, OH | $1,732.29 | $138.75 – $519.75 |
| Henry Ford Providence Novi Hospital | Novi, MI | $1,904.00 | $176.90 – $295.03 |
| Henry Ford St John Hospital | Detroit, MI | $1,904.00 | $192.51 – $219.22 |
| Henry Ford River District Hospital | China Township, MI | $1,904.00 | $192.51 – $192.51 |
| Henry Ford Warren Hospital | Warren, MI | $1,904.00 | $192.51 – $192.51 |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $1,944.00 | $142.83 – $667.00 |
| HSHS St. Mary's Hospital | DECATUR, IL | $1,944.00 | $133.36 – $2,700.00 |
| Adventhealth Ocala | Ocala, FL | $1,997.95 | not published |
| AdventHealth Orlando | Orlando, FL | $2,013.00 | not published |
| ADVENTIST HEALTH DELANO | Delano, CA | $2,052.00 | $139.47 – $7,425.00 |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $2,053.80 | not published |
| Adventhealth Port Charlotte | Port Charlotte, FL | $2,061.55 | not published |
| Adventhealth Zephyrhills | Zephyrhills, FL | $2,071.56 | not published |
| St. Joseph Health Grimes Hospital | Navasota, TX | $2,177.70 | $138.75 – $5,587.40 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $2,177.70 | $138.75 – $3,321.90 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $2,177.70 | $138.75 – $3,321.90 |
| St. Joseph Health College Station Hospital | College Station, TX | $2,177.70 | $138.75 – $5,587.40 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $2,369.10 | $124.65 – $238.57 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $2,369.10 | $142.64 – $238.57 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $2,369.10 | $124.65 – $238.57 |