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 |
|---|---|---|---|
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $21.82 – $21.82 |
| STONECREST MEDICAL CENTER | Smyrna, TN | not published | $21.82 – $21.82 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $21.82 – $21.82 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | not published | $21.82 – $21.82 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | not published | $21.82 – $21.82 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $21.82 – $21.82 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $21.82 – $21.82 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $21.82 – $21.82 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $103.17 – $103.17 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $103.17 – $103.17 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $103.17 – $103.17 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | not published | $103.17 – $103.17 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $103.17 – $103.17 |
| Kettering Health Troy | Troy, OH | not published | $47.57 – $47.57 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $47.57 – $47.57 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $47.57 – $47.57 |
| Soin Medical Center | Beaver Creek, OH | not published | $47.57 – $47.57 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $47.57 – $47.57 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $47.57 – $47.57 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $47.57 – $47.57 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $40.07 – $40.07 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $40.07 – $40.07 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $40.07 – $40.07 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $40.07 – $40.07 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $40.07 – $40.07 |
| Houston Methodist West Hospital | Houston, TX | not published | $40.07 – $40.07 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $40.07 – $40.07 |
| Houston Methodist Hospital | Houston, TX | not published | $40.07 – $40.07 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $19.27 – $19.27 |
| Parkwest Medical Center | Knoxville, TN | not published | $16.27 – $19.27 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $19.27 – $19.27 |
| LeConte Medical Center | Sevierville, TN | not published | $19.27 – $19.27 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $19.27 – $19.27 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $19.27 – $19.27 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $19.27 – $19.27 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $19.54 – $19.54 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $2.13 – $17.49 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $19.54 – $19.54 |
| Claiborne Medical Center | Tazewell, TN | not published | $19.27 – $19.27 |
| Roane County Medical Center | Harriman, TN | not published | $19.27 – $19.27 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $2.13 – $17.49 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $19.24 – $19.24 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | not published | $17.05 – $17.82 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $20.92 – $28.35 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | not published | $38.45 – $38.45 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | not published | $17.70 – $37.95 |
| south pointe hospital | Warrensville Heights, OH | not published | $17.70 – $37.00 |
| mercy hospital | Canton, OH | not published | $17.70 – $38.87 |
| medina hospital | Medina, OH | not published | $17.70 – $37.00 |
| indian river hospital | Vero Beach, FL | not published | $14.73 – $14.73 |