Price Checker / CPT Q4132
How much does "grafix Core cost?
CPT Q4132 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 39x the fair price — among the most extreme markups. Dispute this.
Fair price
$190–$380
What this should cost
With insurance
~$2,550
Typical out-of-pocket
Overcharged if over
$480
Push back above this
The average hospital charge of $11,353 is $11,063 over the fair price (about 39x the fair rate).
What hospitals charge for "grafix Core
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Inova Alexandria Hospital ALEXANDRIA, VA | $32,908 | $16,454 | 25759% |
| Inova Fair Oaks Hospital FAIRFAX, VA | $32,908 | $16,454 | 25759% |
| Inova Fairfax Hospital FALLS CHURCH, VA | $32,908 | $16,454 | 25759% |
| Inova Loudoun Hospital LEESBURG, VA | $32,908 | $16,454 | 25759% |
| Inova Mount Vernon Hospital ALEXANDRIA, VA | $32,908 | $16,454 | 25759% |
| ST FRANCIS MEDICAL CENTER BRECKENRIDGE, VA | $22,962 | $13,777 | 17944% |
| MedStar Good Samaritan Hospital BALTIMORE, MD | $17,366 | $17,019 | 13546% |
| MedStar Montgomery Medical Center OLNEY, MD | $11,708 | $11,474 | 9100% |
| MedStar Union Memorial Hospital BALTIMORE, MD | $11,521 | $11,291 | 8954% |
| William Newton Hospital Winfield, KS | $10,927 | — | 8057% |
| "St. Luke's Jerome Standard Charges" Jerome, ID | $4,314 | $4,314 | 3290% |
| "St. Luke's Magic Valley Standard Charges" , ID | $4,314 | $4,314 | 3290% |
| "St. Luke's Nampa Standard Charges" , ID | $4,314 | $4,314 | 3290% |
| Crestwood Medical Center HUNTSVILLE, AL | $2,898 | $609 | 2178% |
| Wilkes-Barre General Hospital WILKES-BARRE, PA | $1,286 | $309 | 911% |
Were you billed for this procedure?
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About "grafix Core
CPT code Q4132 refers to "grafix core (billing description: ""Grafix core"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $127 in a facility (hospital or surgery center) and $0 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.