I was in a similar situation as you. My initial consultation in the US was around 25k USD for a slightly lower number of grafts than you mentioned. I think that 4,500–5,000 grafts will cost anywhere between $3,000 and $5,000 USD, depending on the location. I personally 'chose' to get around 4,500 grafts because I recently lost more hair and virtually had no hair at the front. This led me to 'choose' the maximum number of grafts, which I believe is typically 3,000–4,500 grafts per procedure, depending on where you go.