HCPCS Q4105 · 681 hospitals reporting

Integra drt or omnigraft

The same procedure costs $58.62 at one hospital and $16,363 at another — a 279× spread for what's billed under the same code. Median: $1,624.

Cheapest published

$58.62

22 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 681 hospitals

$1,624

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$16,363

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

193 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
CHI ST ALEXIUS HEALTH TURTLE LAKE	ND	$2,288	$1,624	$1,624	$2,173	5 insurers
CHI ST ALEXIUS HEALTH TURTLE LAKE	ND	$2,288	$1,624	$1,624	$2,265	5 insurers
LEGENT ORTHOPEDIC + SPINE	TX	$3,000	$1,500	—	—	1 insurers
LEGENT ORTHOPEDIC HOSPITAL	TX	$3,000	$1,500	—	—	1 insurers
CHI HEALTH GOOD SAMARITAN	NE	$2,288	$1,395	$1,121	$2,127	5 insurers
CHI HEALTH GOOD SAMARITAN	NE	$2,288	$1,395	$21.37	$2,127	5 insurers
CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES	CO	$2,288	$1,350	$1,258	$2,150	5 insurers
CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES	CO	$2,288	$1,350	$25.64	$2,150	5 insurers
CHI HEALTH ST. FRANCIS	NE	$2,288	$1,350	$1,258	$2,150	5 insurers
CHI HEALTH ST. FRANCIS	NE	$2,288	$1,350	$25.64	$2,150	5 insurers
CHI HEALTH PLAINVIEW HOSPITAL	NE	$2,288	$1,922	$2,064	$2,242	5 insurers
CHI HEALTH PLAINVIEW HOSPITAL	NE	$2,288	$1,922	$1,395	$3,098	5 insurers
CHI HEALTH SCHUYLER	NE	$2,288	$1,944	$2,064	$2,242	5 insurers
CHI HEALTH SCHUYLER	NE	$2,288	$1,944	$490	$2,590	5 insurers
HUTCHINSON HEALTH	MN	—	$1,992	$0	$2,209	0 insurers
CHI ST ALEXIUS HEALTH	ND	$2,288	$1,167	$1,693	$2,059	3 insurers
CHI ST ALEXIUS HEALTH	ND	$2,288	$1,167	$1,693	$2,059	3 insurers
JOHN H STROGER JR HOSPITAL	IL	$3,000	$2,100	—	—	5 insurers
PROVIDENT HOSPITAL OF CHICAGO	IL	$3,000	$2,100	—	—	5 insurers
CHI HEALTH ST. ELIZABETH	NE	$2,288	$1,144	$1,418	$1,830	3 insurers
CHI HEALTH ST. ELIZABETH	NE	$2,288	$1,144	$25.64	$1,944	5 insurers
CHI HEALTH MISSOURI VALLEY	IA	$2,288	$1,121	$1,304	$2,242	5 insurers
CHI HEALTH MISSOURI VALLEY	IA	$2,288	$1,121	$24.6	$2,242	5 insurers
CHI HEALTH - MERCY CORNING	IA	$2,288	$1,098	$1,373	$2,242	5 insurers
CHI HEALTH - MERCY CORNING	IA	$2,288	$1,098	$24.6	$2,242	5 insurers
CHI HEALTH NEBRASKA HEART	NE	$2,288	$1,052	$1,624	$1,716	2 insurers
CHI HEALTH NEBRASKA HEART	NE	$2,288	$1,052	$25.64	$1,876	5 insurers
GRAND ISLAND REGIONAL MEDICAL CENTER	NE	$2,288	$1,052	$1,624	$1,716	2 insurers
GRAND ISLAND REGIONAL MEDICAL CENTER	NE	$2,288	$1,052	$25.64	$1,876	5 insurers
WESTCHESTER MEDICAL CENTER	NY	$6,615	$2,249	—	—	0 insurers
CHI HEALTH MERCY COUNCIL BLUFFS	IA	$2,288	$961	$1,373	$1,944	3 insurers
CHI HEALTH MERCY COUNCIL BLUFFS	IA	$2,288	$961	$21.37	$1,944	5 insurers
CHI HEALTH BERGAN MERCY	NE	$2,288	$961	$1,373	$1,944	3 insurers
CHI HEALTH BERGAN MERCY	NE	$2,288	$961	$21.37	$1,944	5 insurers
CHI HEALTH IMMANUEL	NE	$2,288	$961	$1,373	$1,944	3 insurers
CHI HEALTH IMMANUEL	NE	$2,288	$961	$21.37	$1,944	5 insurers
CHI HEALTH MIDLANDS	NE	$2,288	$961	$1,373	$1,944	3 insurers
CHI HEALTH MIDLANDS	NE	$2,288	$961	$21.37	$1,944	5 insurers
CHI HEALTH LAKESIDE	NE	$2,288	$961	$1,373	$1,944	3 insurers
CHI HEALTH LAKESIDE	NE	$2,288	$961	$21.37	$1,944	5 insurers