Pricing for the ARTAS procedure will vary depending where you consult, and the vast majority of locations will charge by graft. I don't. I see a big flaw in the price per graft approach, for the following reasons: I don't know exactly how many grafts you need beforehand: It is impossible to know exactly how many grafts a patient will need before you start a procedure. There are so many factors at play that a ballpark graft estimate is really the best anyone can do in advance. The right number of is never an even number ending in a series of 0's. With a predetermined graft count, there is a risk of under-harvesting, thus not achieving good results, and on the other hand a risk of over-harvesting and taking extra grafts that weren't necessary for the procedure risking notable thinning to the donor area, or limiting a future procedure if need be.Consumer confusion: Graft handling and counting methods varies significantly between practices. There is no right or wrong in these methods, however it often becomes impossible to compare price per graft among places since there's not a standard legal definition or consensus of a graft to begin with. Apples and Oranges.Hair restoration is about results, not grafts: Treatments should be individualized and total grafts needed to fill an area will vary person to person based on a number of factors including hair color, hair thickness, hair density, hair texture (straight vs curly), and avg size of natural groupings of hairs to name a few. For this reason, if I find a person needs less grafts that I had originally anticipated, I will not take more to satisfy a number - I rather leave those precious donor hairs behind for the future if needed. On the other hand, often I find I need to take a few hundred extra grafts than I had expected to achieve good results, and I will do so at no extra cost to my patients.Graft quality varies by technique: I use the ARTAS system because I can achieve the very best grafts with its true blunt punch design which is not possible even with so called "blunt" manual punches. I have harvested up to 7 haired follicular units with a blunt 19g (1mm) punch that would be a hard challenge to extract with a manual system like Neograft. I find in my experience I get more hairs/graft with ARTAS then I do manually. I reserve my manual FUE system for "alternate harvesting areas" such as from neck/beard, chest etc, or in cases where the ARTAS cannot be used for some contraindication. What this means is if I can get more hairs per graft by using better methods, you will need less grafts which is not a bad thing! Again, my goal is not grafts, it's results. Site making determines grafts: Stepping away from charging per graft allowed me to rethink how I do my ARTAS procedures. I no longer harvest a set number first and then figure out where to place them. I always start my procedures by making my recipient sites before I begin harvesting. After site making I know exactly how many single haired grafts I need to fill a hairline, or eyebrows, or beard, and how many multiple haired grafts I can pack in for density. Knowing these numbers allows me to harvest efficiently - and with the ARTAS system I can easily set my perimeters to select for the best grafts to meet my needs that I really couldn't know if I hadn't made my sites first to tell me how many of each type I needed.Less risk to grafts: By making my sites first, as I harvest with the ARTAS system, as soon as the grafts come out they are being placed into the prepared sites. This means less out of body time. I often have most of the grafts placed before harvesting is complete. Less out of body time for grafts equals less risk to grafts.Adjunctive measures help: Charging by graft often means you also have to charge for everything else including other therapies that can, and in my mind should, be incorporated into the hair restoration procedure such as PRP (for its growth factors) and ATPv (pure energy for the grafts this promotes graft viability and reduces shock), as well as some promising new therapies in the pipeline such as stem cells. When I used to charge by graft these extra a la carte options were often passed on, which made me reconsider this approach. If these additional therapies help, why should I even consider them as an extra costly option. It is my goal to offer the very best procedures available, which is why I use ARTAS, and also why I incorporate the best adjuctive therapies into all of my procedures at no surcharge. PRP helps the new graft hairs grow quicker, and thickens up the existing hairs and helps prevent shock loss. I mix the grafts with ATPv with the grafts as they are being prepped, as well as provide my patients with an APTv spray to use at home. I encourage you to see some of my 6 month results on the ARTAS website for which I can attribute the rapid results to the addition of these extra measures. As new therapies become available, I will continue to rethink my protocol with the mindset of achieving the very best results. To make a short story long, this is why I do not believe in charging by graft. I let my results and reputation speak for themselves. I prefer to have the pricing fixed to fill areas or zones which gives me the flexibility to pack in as many grafts as I can without limiting myself to a number, and also to avoid over harvesting. This also allows me to include all the best additional therapies out there along with my ARTAS procedure to achieve the best results. Since you asked ;)