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HANK Price Transparency. (n.d.).
AXOLOTL GRAF DUALGRAF SQ CM (OTHER Q4210) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 28, 2026 , from http://ppman.hank.ai/transparency/procedure/Q4210/by-state?code_type=OTHER
“AXOLOTL GRAF DUALGRAF SQ CM (OTHER Q4210) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/Q4210/by-state?code_type=OTHER. Accessed
June 28, 2026 .
“AXOLOTL GRAF DUALGRAF SQ CM (OTHER Q4210) by State,” HANK Price Transparency ,
accessed June 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/Q4210/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
Q4210 — Axolotl Graf Dualgraf Sq Cm
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$515
National median
$515 – $1,158
IQR (p25 – p75)
47
hospitals filing
16
states
Walking in without insurance?
Cash / self-pay price
Cash median
$258
vs. negotiated
-50.0%
Hospitals reporting
12
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 Q4210 (OTHER), with interquartile range
State Median p25 p75
NC $4,727 $4,399 $8,394
UT $2,451 $2,157 $2,573
VA $1,911 $1,839 $1,940
CO $1,600 $1,600 $1,713
MI $1,399 $1,399 $1,399
TN $1,327 $1,026 $1,483
NY $1,084 $1,075 $1,158
NH $1,023 $848 $1,023
MN $871 $867 $874
OH $848 $848 $848
SC $848 $848 $848
IL $763 $763 $763
AL $750 $750 $750
WV $515 $515 $515
PA $343 $343 $343
IN $49 $49 $49