How Much Does Grafix Duo Placental Membrane Graft (per sq cm) Cost?

The average Medicare physician fee for Grafix Duo Placental Membrane Graft (per sq cm) is $128.

Yes. Medicare pays physicians $128 on average. Under Original Medicare (Part B), you typically pay 20% after your deductible (~$26).

Uninsured patients often face the chargemaster rate (3-10x higher than cash price). Always ask the hospital for their self-pay or cash-pay rate — often 40-80% off the list price.

Hospital prices for the same procedure vary by insurance contract, facility overhead, and regional cost of living. In some cities, the highest-priced hospital charges 3-5× what the lowest-priced hospital charges for the same service.

Most of the difference is hospital pricing, not the medicine — the procedure is essentially the same everywhere. Hospitals set their own prices with no national standard, so charges swing 3-4× based on local wages, rent, and malpractice costs, how much competition there is between hospitals, and regional insurer contracts. Because it's pricing power rather than quality, comparing hospitals and asking for the cash/self-pay rate can save a lot.

Ask for the total estimated bill (including facility + anesthesia + supplies), whether the service is covered by your insurance, if the procedure can be done at an ambulatory surgery center (typically 30-60% cheaper), and what the cash-pay rate is.