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).

$197 National median

$106 – $1,545 IQR (p25 – p75)

1,591 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
VT	$7,760	$136	$14,681
AL	$7,043	$302	$11,830
ME	$5,635	$2,277	$10,894
DC	$5,154	$448	$10,378
NV	$5,091	$2,205	$8,843
NE	$1,421	$663	$2,049
KY	$1,355	$572	$9,732
NJ	$1,312	$127	$3,092
TN	$1,257	$66	$10,142
ND	$1,201	$168	$2,059
NY	$1,166	$146	$2,633
ID	$1,147	$256	$4,776
VA	$705	$133	$9,417
WA	$455	$153	$8,985
WV	$446	$119	$1,286
MA	$350	$117	$4,775
SD	$332	$300	$659
AK	$292	$258	$327
MN	$269	$112	$2,084
IL	$260	$133	$2,688
IA	$259	$155	$984
CA	$214	$80	$2,927
FL	$210	$106	$639
KS	$191	$83	$289
MI	$184	$134	$276
HI	$180	$63	$3,709
AR	$173	$59	$3,730
IN	$169	$88	$261
DE	$161	$161	$161
WY	$156	$127	$191
OR	$155	$138	$277
WI	$155	$69	$308
AZ	$151	$93	$408
CT	$150	$94	$272
TX	$144	$94	$250
RI	$143	$140	$505
MO	$138	$98	$249
NC	$137	$121	$225
PA	$133	$114	$2,419
GA	$131	$81	$299
UT	$127	$55	$134
OH	$125	$52	$184
OK	$123	$30	$161
SC	$120	$52	$128
MS	$119	$68	$253
CO	$88	$67	$333
NM	$66	$44	$137
NH	$61	$44	$74
MD	$53	$38	$62
LA	$52	$43	$68
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

VT	$7,760	$136	$14,681	$34	$38,473	4	29	172
AL	$7,043	$302	$11,830	$32	$31,800	22	90	606
ME	$5,635	$2,277	$10,894	$38	$25,796	8	10	118
DC	$5,154	$448	$10,378	$32	$77,559	3	24	265
NV	$5,091	$2,205	$8,843	$30	$39,189	16	101	862
NE	$1,421	$663	$2,049	$34	$3,154	19	41	1,265
KY	$1,355	$572	$9,732	$36	$86,524	33	44	1,307
NJ	$1,312	$127	$3,092	$32	$12,000	45	265	8,990
TN	$1,257	$66	$10,142	$26	$33,202	43	75	1,673
ND	$1,201	$168	$2,059	$35	$11,273	12	39	283
NY	$1,166	$146	$2,633	$16	$38,441	84	259	4,790
ID	$1,147	$256	$4,776	$13	$16,012	9	154	1,114
VA	$705	$133	$9,417	$22	$36,340	32	69	941
WA	$455	$153	$8,985	$30	$33,478	37	41	791
WV	$446	$119	$1,286	$27	$1,355	8	44	192
MA	$350	$117	$4,775	$34	$10,649	24	251	942
SD	$332	$300	$659	$228	$1,725	2 ⚠ thin data	4	10
AK	$292	$258	$327	$223	$362	1 ⚠ thin data	1	2
MN	$269	$112	$2,084	$32	$12,835	36	38	1,088
IL	$260	$133	$2,688	$15	$45,377	59	150	1,328
IA	$259	$155	$984	$34	$3,491	22	93	1,848
CA	$214	$80	$2,927	$11	$67,095	134	321	5,861
FL	$210	$106	$639	$11	$47,406	117	176	4,422
KS	$191	$83	$289	$23	$780	8	31	247
MI	$184	$134	$276	$33	$37,933	58	398	5,825
HI	$180	$63	$3,709	$32	$13,939	12	19	177
AR	$173	$59	$3,730	$19	$12,031	7	64	178
IN	$169	$88	$261	$32	$30,408	37	147	1,354
DE	$161	$161	$161	$146	$177	1 ⚠ thin data	15	20
WY	$156	$127	$191	$108	$236	3	20	29
OR	$155	$138	$277	$35	$3,700	17	30	353
WI	$155	$69	$308	$32	$10,378	58	96	1,603
AZ	$151	$93	$408	$32	$38,395	29	108	1,121
CT	$150	$94	$272	$33	$5,872	9	9	63
TX	$144	$94	$250	$20	$34,880	170	387	11,297
RI	$143	$140	$505	$57	$786	4	4	18
MO	$138	$98	$249	$34	$4,260	26	140	1,304
NC	$137	$121	$225	$26	$11,340	38	79	1,781
PA	$133	$114	$2,419	$20	$146,063	57	110	1,672
GA	$131	$81	$299	$26	$19,868	32	56	436
UT	$127	$55	$134	$32	$483	29	49	451
OH	$125	$52	$184	$32	$17,825	63	192	3,810
OK	$123	$30	$161	$29	$842	26	108	407
SC	$120	$52	$128	$27	$5,418	25	30	332
MS	$119	$68	$253	$34	$3,426	7	66	209
CO	$88	$67	$333	$11	$8,339	50	72	1,406
NM	$66	$44	$137	$36	$63,713	11	44	148
NH	$61	$44	$74	$30	$760	12	19	130
MD	$53	$38	$62	$38	$1,350	2 ⚠ thin data	4	10
LA	$52	$43	$68	$32	$342	15	64	341
MT	$44	$33	$81	$24	$38,324	11	31	103