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HANK Price Transparency. (n.d.).
GRAFT STRATTICE PER SQCM (OTHER Q4130) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 28, 2026 , from http://ppman.hank.ai/transparency/procedure/Q4130/by-state?code_type=OTHER
“GRAFT STRATTICE PER SQCM (OTHER Q4130) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/Q4130/by-state?code_type=OTHER. Accessed
June 28, 2026 .
“GRAFT STRATTICE PER SQCM (OTHER Q4130) by State,” HANK Price Transparency ,
accessed June 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/Q4130/by-state?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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OTHER · across United States
Q4130 — Graft Strattice Per Sqcm
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$3,768
National median
$134 – $12,402
IQR (p25 – p75)
100
hospitals filing
24
states
Walking in without insurance?
Cash / self-pay price
Cash median
$8,002
vs. negotiated
+112.4%
Hospitals reporting
63
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for Q4130 (OTHER), with interquartile range
State Median p25 p75
IL $39,870 $26,048 $60,754
OK $26,975 $15,803 $42,699
DC $13,229 $6,371 $26,343
NV $12,092 $4,451 $26,974
SC $9,205 $5,739 $19,351
TX $9,027 $3,371 $21,524
FL $8,289 $4,790 $22,772
CA $5,730 $2,843 $16,967
PA $4,365 $398 $8,720
TN $885 $885 $1,030
AL $750 $750 $750
MI $376 $376 $376
VA $234 $134 $310
AR $184 $122 $186
HI $142 $27 $142
WV $133 $127 $136
UT $127 $126 $135
NY $127 $127 $1,117
NH $67 $62 $68
CO $50 $50 $137
KY $48 $48 $48
IN $48 $48 $48
OH $43 $43 $43
MN $5 $5 $5