Allograft 160mg placental salera mini membrane cost at US hospitals
ALLOGRAFT 160MG PLACENTAL SALERA MINI MEMBRANE · HCPCS Q4168
$456.00
lowest cash price
$5,835.10
national median
$15,796.01
highest cash price
88
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $456.00–$15,796.01 — the variation is the story.
Median cash price over time
Dec 1, 2025 ($666.00) → Sep 1, 2026 ($516.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 1 | not published by hospital | not published by hospital | not published by hospital |
| California | 20 | $2,958.26 | $4,731.28 | $7,955.83 |
| Florida | 11 | $8,247.85 | $8,247.85 | $8,247.85 |
| Georgia | 10 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 9 | not published by hospital | not published by hospital | not published by hospital |
| Indiana | 2 | $5,481.00 | $5,481.00 | $5,481.00 |
| Iowa | 11 | not published by hospital | not published by hospital | not published by hospital |
| Kentucky | 2 | $6,611.20 | $6,611.20 | $7,987.19 |
| Louisiana | 1 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 14 | not published by hospital | not published by hospital | not published by hospital |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | not published by hospital | not published by hospital | not published by hospital |
| New York | 11 | not published by hospital | not published by hospital | not published by hospital |
| North Carolina | 12 | $666.00 | $666.00 | $666.00 |
| Ohio | 47 | $6,611.20 | $6,662.14 | $11,302.84 |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| South Carolina | 4 | $15,796.01 | $15,796.01 | $15,796.01 |
| South Dakota | 1 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 17 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 33 | $456.00 | $516.00 | $638.00 |
| Virginia | 11 | $4,168.18 | $10,875.82 | $13,177.20 |
| Washington | 22 | $4,912.64 | $5,128.00 | $7,522.12 |
| Wisconsin | 14 | not published by hospital | not published by hospital | not published by hospital |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | $456.00 | $103.17 – $103.17 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | $516.00 | $103.17 – $103.17 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | $638.00 | $103.17 – $103.17 |
| Atrium Health Anson | Wadesboro, NC | $666.00 | $199.27 – $1,265.40 |
| Atrium Health Mercy | Charlotte, NC | $666.00 | $19.15 – $1,225.44 |
| Atrium Health Pineville | Charlotte, NC | $666.00 | $133.20 – $1,225.44 |
| Atrium Health Stanly | Albermarle, NC | $666.00 | $159.84 – $1,278.72 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $666.00 | $253.08 – $1,332.00 |
| Atrium Health Cleveland | Shelby, NC | $666.00 | $186.48 – $1,265.40 |
| Atrium Health Cabarrus | Concord, NC | $666.00 | $163.44 – $1,265.40 |
| Atrium Health Lincoln | Lincolnton, NC | $666.00 | $150.25 – $1,265.40 |
| Atrium Health Union | Monroe, NC | $666.00 | $173.16 – $1,265.40 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $666.00 | $407.46 – $1,225.44 |
| Atrium Health University City | Charlotte, NC | $666.00 | $133.20 – $1,225.44 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $666.00 | $19.15 – $1,198.80 |
| Mercy General Hospital | Sacramento, CA | $2,958.26 | $39.66 – $7,142.25 |
| Woodland Memorial Hospital | Woodland, CA | $3,718.18 | $882.75 – $8,025.00 |
| Mercy San Juan Medical Center | Carmichael, CA | $3,718.18 | $39.66 – $6,821.25 |
| Methodist Hospital of Sacramento | Sacramento, CA | $3,908.16 | $39.66 – $7,222.50 |
| Southampton Medical Center | Franklin, VA | $4,168.18 | not published |
| Mercy Medical Center Redding | Redding, CA | $4,259.82 | $1,848.44 – $8,402.00 |
| Glendale Memorial Hospital Health Center | Glendale, CA | $4,423.82 | $40.00 – $3,613.50 |
| St. Bernardine Medical Center | San Bernardino, CA | $4,518.81 | $730.00 – $2,993.00 |
| St. John's Camarillo Hospital | Camarillo, CA | $4,731.28 | $2,592.48 – $8,425.56 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $4,906.77 | $1,764.42 – $8,233.96 |
| St. Clare Hospital | Lakewood, WA | $4,912.64 | $4,429.47 – $6,644.20 |
| MultiCare Auburn Medical Center | Auburn, WA | $5,128.00 | not published |
| MultiCare Capital Medical Center | Olympia, WA | $5,128.00 | not published |
| MultiCare Covington Medical Center | Covington, WA | $5,128.00 | not published |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $5,128.00 | not published |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $5,128.00 | not published |
| MultiCare Valley Hospital | Spokane Valley, WA | $5,128.00 | not published |
| MultiCare Allenmore Hospital | Tacoma, WA | $5,128.00 | not published |
| MultiCare Deaconess Hospital | Spokane, WA | $5,128.00 | not published |
| St. Anthony Hospital | Gig Harbor, WA | $5,183.76 | $4,429.47 – $6,644.20 |
| St. Anne Hospital | Burien, WA | $5,204.33 | $3,809.34 – $7,973.04 |
| Mercy Hospital of Folsom | Folsom, CA | $5,278.73 | $39.66 – $7,704.00 |
| Community Hospital San Bernardino | San Bernardino, CA | $5,305.87 | $766.50 – $3,650.00 |
| St Jude Medical Center | Fullerton, CA | $5,308.51 | not published |
| St. Francis Hospital | Federal Way, WA | $5,348.65 | $4,429.47 – $6,644.20 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $5,481.00 | $37.56 – $108.92 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $5,481.00 | $37.56 – $108.92 |
| St. Joseph Medical Center | Tacoma, WA | $5,644.77 | $4,429.47 – $6,644.20 |
| St. Mary Medical Center | Long Beach, CA | $5,835.10 | $730.00 – $3,650.00 |
| St. Elizabeth Hospital | Enumclaw, WA | $6,022.57 | $1,506.02 – $7,973.04 |
| Jewish Hospital | Cincinnati, OH | $6,611.20 | not published |
| Anderson Hospital | Cincinnati, OH | $6,611.20 | not published |
| Clermont Hospital | Batavia, OH | $6,611.20 | not published |
| Kings Mills Hospital | Mason, OH | $6,611.20 | not published |
| Fairfield Hospital | Fairfield, OH | $6,611.20 | not published |