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 |
|---|---|---|---|
| Monmouth Medical Center | Long Branch, NJ | not published | $17.05 – $17.82 |
| Jersey City Medical Center | Jersey City, NJ | not published | $17.05 – $17.39 |
| marymount hospital | Garfield Heights, OH | not published | $17.70 – $37.00 |
| martin north hospital | Stuart, FL | not published | $14.73 – $14.73 |
| Providence Saint Joseph Medical Center | Burbank, CA | not published | $33.93 – $33.93 |
| hillcrest hospital | Mayfield Heights, OH | not published | $17.70 – $38.87 |
| lutheran hospital | Cleveland, OH | not published | $17.70 – $37.00 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | not published | $13.99 – $20.59 |
| fairview hospital | Cleveland, OH | not published | $17.70 – $38.87 |
| UnityPoint Health - Meriter Hospital | Madison, WI | not published | $13.99 – $17.05 |
| euclid hospital | Euclid, OH | not published | $17.70 – $37.00 |
| cleveland clinic florida weston hospital | Weston, FL | not published | $14.73 – $15.35 |
| avon hospital | Avon, OH | not published | $17.70 – $37.00 |
| akron general | Akron, OH | not published | $38.87 – $38.87 |
| cleveland clinic main campus | Cleveland, OH | not published | $36.66 – $36.66 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | not published | $13.99 – $20.59 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | not published | $19.24 – $19.24 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $1.00 – $1.00 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $1.02 – $1.02 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $17.05 – $17.82 |
| Swedish Issaquah | Issaquah, WA | not published | $19.24 – $19.24 |
| Clara Maass Medical Center | Belleville, NJ | not published | $17.05 – $17.82 |
| Community Medical Center | Toms River, NJ | not published | $17.05 – $17.39 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | not published | $13.99 – $20.59 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $33.93 – $33.93 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | not published | $13.99 – $20.59 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | not published | $13.99 – $20.59 |
| Berger Hospital | Circleville, OH | not published | $35.46 – $35.46 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | not published | $13.99 – $20.59 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | not published | $13.99 – $20.59 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | not published | $13.99 – $20.59 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $33.93 – $33.93 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | not published | $13.99 – $20.59 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | not published | $13.99 – $20.59 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $34.10 – $34.10 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | not published | $13.99 – $20.59 |
| Providence Holy Cross Medical Center | Mission Hills, CA | not published | $33.93 – $33.93 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $19.31 – $28.35 |
| Palisades Medical Center | North Bergen, NJ | not published | not published |
| Advocate Condell Medical Center | Libertyville, IL | not published | $34.10 – $34.10 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $34.10 – $34.10 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | not published | $19.24 – $19.24 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $103.17 – $103.17 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $104.01 – $104.01 |
| Lincoln Health | Damariscotta, ME | not published | $17.05 – $33.72 |
| Wellstar Windy Hill Hospital | Marietta, GA | not published | $32.50 – $32.50 |
| Stephens Memorial Hospital | Norway, ME | not published | $17.05 – $33.72 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $103.17 – $103.17 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $103.17 – $103.17 |
| North Central Bronx | Bronx, NY | not published | $15.30 – $17.05 |