Price Checker / CPT Q4101
How much does Apligraf cost?
CPT Q4101 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 17x the fair price — among the most extreme markups. Dispute this.
Fair price
$190–$380
What this should cost
With insurance
~$2,000
Typical out-of-pocket
Overcharged if over
$480
Push back above this
The average hospital charge of $4,850 is $4,560 over the fair price (about 17x the fair rate).
What hospitals charge for Apligraf
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Licking Memorial Hospital NEWARK, OH | $35,776 | $35,776 | 28012% |
| UMass Memorial Health-Harrington at Webster , MA | $20,884 | $20,884 | 16311% |
| UMass Memorial Health-Harrington Hospital SOUTHBRIDGE, MA | $20,884 | $20,884 | 16311% |
| Meadowview Regional Medical Center MAYSVILLE, KY | $13,181 | — | 10258% |
| Astria Sunnyside Hospital SUNNYSIDE, WA | $9,792 | $5,591 | 7594% |
| WTH Volunteer Hospital , TN | — | $2,025 | 7150% |
| ST. CLAIR HOSPITAL PITTSBURGH, PA | $8,617 | $2,082 | 6671% |
| William Newton Hospital Winfield, KS | $8,529 | — | 6267% |
| Pomerene Hospital MILLERSBURG, OH | $4,373 | $3,498 | 3336% |
| Perry County Memorial Hospital TELL CITY, IN | $4,357 | $3,050 | 3324% |
| Dale Medical Center OZARK, AL | $4,152 | $2,076 | 3162% |
| Spencer Municipal Hospital SPENCER, IA | $4,035 | $3,026 | 3071% |
| "St. John's Riverside Hospital Andrus Pavilion" Yonkers, NY | $3,515 | $2,988 | 2662% |
| "St. John's Riverside Hospital Boyce Thompson Pavilion" Yonkers, NY | $3,515 | $2,988 | 2662% |
| "St. John's Riverside Hospital Dobbs Ferry Pavilion" Yonkers, NY | $3,515 | $2,988 | 2662% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Apligraf
CPT code Q4101 refers to apligraf (billing description: "Apligraf"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $127 in a facility (hospital or surgery center) and $127 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.