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 |
|---|---|---|---|
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $2,369.10 | $124.65 – $238.57 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $2,369.10 | $124.65 – $238.57 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $2,369.10 | $124.65 – $238.57 |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $2,369.58 | not published |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | $2,387.65 | $157.70 – $418.98 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | $2,492.61 | $197.15 – $1,400.00 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $2,492.61 | $197.15 – $1,400.00 |
| SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES | Simi Valley, CA | $2,592.00 | $150.42 – $506.86 |
| Lincoln Health | Damariscotta, ME | $2,655.50 | $135.45 – $1,569.80 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $2,767.80 | not published |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $2,770.20 | $134.06 – $266.43 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $2,916.00 | $127.97 – $953.19 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $2,940.00 | $27.27 – $154.53 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $2,940.00 | $30.91 – $154.53 |
| Lasting Hope Recovery Center | Omaha, NE | $2,940.00 | $30.91 – $154.53 |
| CHI Health Immanuel | Omaha, NE | $2,940.00 | $25.46 – $154.53 |
| CHI Health Lakeside | Omaha, NE | $2,940.00 | $29.09 – $154.53 |
| CHI Health Midlands | Papillion, NE | $2,940.00 | $32.73 – $154.53 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $2,981.51 | $57.68 – $475.16 |
| Central Medical Center | Seattle, WA | $3,182.51 | not published |
| WellSpan Ephrata Community Hospital | Ephrata, PA | $3,208.87 | $138.74 – $477.30 |
| CHI Health Nebraska Heart | Lincoln, NE | $3,220.00 | $144.33 – $1,713.80 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $3,240.00 | $134.06 – $975.44 |
| MaineHealth - Memorial Hospital | North Conway, NH | $3,350.00 | $135.45 – $186.68 |
| CHI Health Mercy Corning | Corning, IA | $3,360.00 | $143.23 – $1,568.49 |
| Camden Clark Medical Center | Parkersburg, WV | $3,363.02 | $126.52 – $221.41 |
| Reynolds Memorial Hospital | Glen Dale, WV | $3,363.02 | $82.24 – $224.93 |
| West Virginia University Hospitals | Morgantown, WV | $3,363.02 | $82.24 – $536.00 |
| CHI Health Missouri Valley | Missouri Valley, IA | $3,430.00 | $143.23 – $1,568.49 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $3,442.00 | $209.78 – $824.03 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $3,468.00 | $37.56 – $142.43 |
| CHI Health St. Elizabeth | Lincoln, NE | $3,500.00 | $60.14 – $209.16 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $3,645.98 | $141.32 – $477.30 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $3,657.34 | $116.91 – $305.89 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $3,681.60 | $85.98 – $170.65 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | $3,840.60 | $37.56 – $142.43 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | $3,917.00 | $209.78 – $824.03 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $3,917.99 | $139.47 – $491.02 |
| CHI Health St. Francis | Grand Island, NE | $4,130.00 | $60.14 – $245.77 |
| Claiborne Medical Center | Tazewell, TN | $4,158.00 | $120.92 – $13,365.00 |
| French Hospital | San Luis Obispo, CA | $4,235.56 | $134.06 – $10,588.90 |
| Northridge Hospital Medical Center | Northridge, CA | $4,240.53 | $134.06 – $8,988.00 |
| CHI Health Good Samaritan | Kearney, NE | $4,270.00 | $110.25 – $488.25 |
| LeConte Medical Center | Sevierville, TN | $4,306.50 | $120.92 – $7,695.00 |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $4,325.48 | $87.98 – $314.22 |
| Parkwest Medical Center | Knoxville, TN | $4,455.00 | $112.91 – $4,095.00 |
| Morristown-Hamblen Hospital Association | Morristown, TN | $4,455.00 | $112.91 – $918.90 |
| Sunnyside Medical Center | CLACKAMAS, OR | $4,556.00 | not published |
| Westside Medical Center | HILLSBORO, OR | $4,556.00 | not published |
| Arroyo Grande Hospital | Santa Maria, CA | $4,624.54 | $134.06 – $10,588.90 |