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 |
|---|---|---|---|
| Sequoia Hospital | Redwood City, CA | $4,631.18 | $27.50 – $5,264.35 |
| Cumberland Medical Center, Inc. | Crossville, TN | $4,752.00 | $120.92 – $4,095.00 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee, WI | $4,770.00 | $157.70 – $472.50 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | $4,814.00 | $209.78 – $824.03 |
| WILLITS HOSPITAL INC | Willits, CA | $4,860.00 | $134.06 – $266.43 |
| Fort Loudoun Medical Center | Lenoir City, TN | $4,900.50 | $112.91 – $7,695.00 |
| Fort Sanders Regional Medical Center | Knoxville, TN | $4,900.50 | $112.91 – $918.90 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | $4,900.50 | $112.91 – $918.90 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $5,056.08 | $119.69 – $233.39 |
| Wellstar Cobb Hospital | Austell, GA | $5,089.62 | $126.40 – $233.84 |
| Wellstar Douglas Hospital | Douglasville, GA | $5,089.62 | $125.26 – $231.74 |
| Wellstar Kennestone Hospital | Marietta, GA | $5,089.62 | $126.40 – $233.84 |
| Wellstar MCG Health | Augusta, GA | $5,089.62 | $109.05 – $264.46 |
| Wellstar North Fulton Hospital | Roswell, GA | $5,089.62 | $126.40 – $233.84 |
| Wellstar Paulding Hospital | Hiram, GA | $5,089.62 | $126.40 – $233.84 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $5,089.62 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $5,089.62 | $124.82 – $244.65 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $5,089.62 | $264.46 – $264.46 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $5,089.62 | $122.46 – $240.01 |
| Wellstar Windy Hill Hospital | Marietta, GA | $5,089.62 | $264.46 – $264.46 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $5,115.57 | $65.10 – $465.00 |
| Dominican Hospital | Santa Cruz, CA | $5,380.65 | $131.79 – $4,184.00 |
| Berkeley Medical Center | Martinsburg, WV | $5,535.00 | $126.52 – $224.93 |
| Mercy Medical Center Redding | Redding, CA | $5,538.98 | $134.06 – $1,334.00 |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $5,540.40 | $10,260.00 – $10,260.00 |
| Chandler Regional Medical Center | Chandler, AZ | $5,573.06 | $65.10 – $465.00 |
| Glendale Memorial Hospital Health Center | Glendale, CA | $5,752.27 | $40.00 – $2,133.45 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $5,781.00 | $37.56 – $239.03 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $5,781.00 | $37.56 – $239.03 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $5,781.00 | $37.56 – $142.43 |
| CHI Health St. Mary's | Nebraska City, NE | $5,810.00 | $447.68 – $2,006.40 |
| St. Bernardine Medical Center | San Bernardino, CA | $5,875.79 | $134.06 – $1,767.10 |
| CHI Health Plainview | Plainview, NE | $5,880.00 | $976.31 – $2,167.40 |
| CHI Health Schuyler | Schuyler, NE | $5,950.00 | $342.83 – $1,812.09 |
| HCA HOUSTON MEDICAL CENTER | Houston, TX | $6,023.00 | $209.78 – $329.56 |
| HCA HOUSTON KINGWOOD | HUMBLE, TX | $6,031.00 | $209.78 – $329.56 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | $6,057.00 | $37.56 – $142.43 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $6,075.00 | $117.73 – $342.90 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $6,075.00 | $475.37 – $475.37 |
| University Hospitals Elyria Medical Center | Elyria, OH | $6,075.00 | $117.73 – $211.92 |
| University Hospitals Geneva Medical Center | Geneva, OH | $6,075.00 | $439.69 – $439.69 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $6,075.00 | $117.73 – $211.92 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $6,075.00 | $117.73 – $211.92 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $6,075.00 | $117.73 – $235.47 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $6,075.00 | $127.14 – $228.85 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $6,075.00 | $127.14 – $228.85 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $6,075.00 | $120.69 – $331.44 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $6,075.00 | $117.73 – $211.92 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $6,075.00 | $84.20 – $342.90 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $6,142.80 | not published |