Q4105 (HCPCS) by state — Price Transparency

HCPCS · across United States

Q4105 — Integra Drt Or Omnigraft

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$198 National median

$103 – $1,681 IQR (p25 – p75)

1,557 hospitals filing

51 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $272.

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for Q4105 (HCPCS), with interquartile range
State	Median	p25	p75
ME	$9,379	$4,362	$11,874
VT	$7,760	$136	$14,681
AL	$7,655	$302	$11,922
NV	$5,384	$2,937	$8,843
DC	$5,154	$448	$10,378
TN	$4,540	$67	$10,957
NE	$1,477	$755	$2,082
NJ	$1,360	$127	$3,148
KY	$1,355	$572	$9,732
WV	$1,216	$423	$1,286
NY	$1,166	$146	$2,575
ND	$1,164	$164	$2,008
ID	$1,147	$256	$4,776
VA	$595	$131	$6,491
WA	$458	$153	$9,147
MA	$391	$117	$4,775
SD	$332	$300	$659
AK	$292	$258	$327
MN	$273	$121	$2,130
IL	$260	$133	$2,688
IA	$256	$155	$908
CA	$238	$83	$3,158
FL	$206	$105	$604
KS	$191	$83	$289
MI	$184	$134	$276
HI	$180	$63	$3,709
IN	$169	$88	$261
DE	$161	$161	$161
WY	$156	$123	$193
WI	$156	$69	$308
OR	$155	$138	$535
CT	$150	$94	$272
RI	$143	$140	$505
TX	$143	$91	$242
MO	$142	$101	$268
AZ	$139	$83	$537
NC	$137	$121	$228
GA	$135	$83	$375
PA	$133	$114	$2,419
AR	$127	$76	$3,342
UT	$127	$92	$134
OH	$124	$52	$184
OK	$122	$30	$174
SC	$120	$52	$127
MS	$117	$74	$181
CO	$88	$67	$333
NM	$66	$44	$137
NH	$61	$44	$74
MD	$53	$38	$62
LA	$51	$39	$56
MT	$44	$33	$81

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

ME	$9,379	$4,362	$11,874	$38	$25,796	5	10	101
VT	$7,760	$136	$14,681	$34	$38,473	4	29	172
AL	$7,655	$302	$11,922	$32	$31,800	21	80	583
NV	$5,384	$2,937	$8,843	$30	$39,189	16	97	893
DC	$5,154	$448	$10,378	$32	$77,559	3	24	265
TN	$4,540	$67	$10,957	$26	$33,202	45	72	1,785
NE	$1,477	$755	$2,082	$34	$3,154	19	36	1,202
NJ	$1,360	$127	$3,148	$32	$20,800	44	265	9,000
KY	$1,355	$572	$9,732	$36	$86,524	33	44	1,306
WV	$1,216	$423	$1,286	$27	$1,355	5	17	141
NY	$1,166	$146	$2,575	$16	$38,441	79	216	4,695
ND	$1,164	$164	$2,008	$35	$11,273	12	33	239
ID	$1,147	$256	$4,776	$13	$16,012	9	154	1,114
VA	$595	$131	$6,491	$22	$36,340	32	69	726
WA	$458	$153	$9,147	$30	$33,478	36	41	790
MA	$391	$117	$4,775	$34	$10,649	23	247	886
SD	$332	$300	$659	$228	$1,725	2 ⚠ thin data	4	10
AK	$292	$258	$327	$223	$362	1 ⚠ thin data	1	2
MN	$273	$121	$2,130	$32	$12,835	35	37	1,059
IL	$260	$133	$2,688	$15	$45,377	59	148	1,323
IA	$256	$155	$908	$34	$3,491	21	88	1,787
CA	$238	$83	$3,158	$11	$67,095	131	294	5,768
FL	$206	$105	$604	$11	$47,406	116	168	4,358
KS	$191	$83	$289	$23	$780	8	31	247
MI	$184	$134	$276	$33	$37,933	57	398	5,824
HI	$180	$63	$3,709	$32	$13,939	12	19	177
IN	$169	$88	$261	$32	$30,408	37	147	1,354
DE	$161	$161	$161	$146	$177	1 ⚠ thin data	15	20
WY	$156	$123	$193	$108	$236	3	20	22
WI	$156	$69	$308	$32	$10,378	57	95	1,592
OR	$155	$138	$535	$35	$11,273	18	32	368
CT	$150	$94	$272	$33	$5,872	9	9	63
RI	$143	$140	$505	$57	$786	4	4	18
TX	$143	$91	$242	$20	$31,507	168	365	9,890
MO	$142	$101	$268	$34	$4,260	24	137	1,257
AZ	$139	$83	$537	$32	$38,395	29	100	1,045
NC	$137	$121	$228	$26	$11,340	37	76	1,769
GA	$135	$83	$375	$26	$19,868	31	56	406
PA	$133	$114	$2,419	$20	$146,063	57	110	1,668
AR	$127	$76	$3,342	$19	$12,031	7	71	186
UT	$127	$92	$134	$32	$483	29	48	420
OH	$124	$52	$184	$32	$17,825	61	189	3,801
OK	$122	$30	$174	$29	$842	23	106	382
SC	$120	$52	$127	$27	$422	24	26	307
MS	$117	$74	$181	$31	$3,426	8	70	236
CO	$88	$67	$333	$11	$8,339	49	72	1,407
NM	$66	$44	$137	$36	$63,713	11	44	148
NH	$61	$44	$74	$30	$760	11	19	128
MD	$53	$38	$62	$38	$1,350	2 ⚠ thin data	4	10
LA	$51	$39	$56	$32	$342	14	54	313
MT	$44	$33	$81	$24	$38,324	11	31	103