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 |
|---|---|---|---|
| Wellstar West Georgia Medical Center | Lagrange, GA | not published | $32.50 – $32.50 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | not published | $32.50 – $32.50 |
| Wellstar Spalding Regional Hospital | Griffin, GA | not published | $32.50 – $32.50 |
| Wellstar Paulding Hospital | Hiram, GA | not published | $32.50 – $32.50 |
| Wellstar North Fulton Hospital | Roswell, GA | not published | $32.50 – $32.50 |
| Corewell Health Troy | Troy, MI | not published | $23.99 – $23.99 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $24.10 – $24.10 |
| Corewell Health Zeeland | Zeeland, MI | not published | $17.70 – $17.70 |
| Corewell Health Greenville | Greenville, MI | not published | $17.70 – $17.70 |
| Corewell Health Reed City | Po Box 75, MI | not published | $17.70 – $17.70 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $17.70 – $17.70 |
| Aurora West Allis Medical Center | West Allis, WI | not published | $13.64 – $25.58 |
| Aurora Medical Center Washington County | Hartford, WI | not published | $13.64 – $25.58 |
| Aurora Medical Center Summit | Summit, WI | not published | $13.64 – $25.58 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | not published | $13.64 – $25.58 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $13.64 – $25.58 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | not published | $13.64 – $25.58 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | not published | $13.64 – $25.58 |
| Aurora Medical Center Kenosha | Kenosha, WI | not published | $13.64 – $25.58 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | not published | $13.64 – $25.58 |
| Aurora Medical Center Grafton | Grafton, WI | not published | $13.64 – $25.58 |
| Aurora Medical Center Burlington | Burlington, WI | not published | $13.64 – $25.58 |
| Aurora Medical Center Bay Area | Marinette, WI | not published | $13.64 – $25.58 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | not published | $13.99 – $20.59 |
| Aurora Baycare Medical Center | Green Bay, WI | not published | $13.64 – $25.58 |
| South Brooklyn Health | Brooklyn, NY | not published | $17.05 – $20.48 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | not published | $17.05 – $17.05 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $17.70 – $17.70 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $17.05 – $32.76 |
| Corewell Health Gerber | Fremont, MI | not published | $17.70 – $17.70 |
| Corewell Health Big Rapids | Big Rapids, MI | not published | $17.70 – $17.70 |
| Franklin Memorial Hospital | Farmington, ME | not published | $17.05 – $33.72 |
| Wellstar MCG Health | Augusta, GA | not published | $32.50 – $32.50 |
| Wellstar Kennestone Hospital | Marietta, GA | not published | $32.50 – $32.50 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $19.31 – $28.35 |
| Wellstar Douglas Hospital | Douglasville, GA | not published | $32.50 – $32.50 |
| Wellstar Cobb Hospital | Austell, GA | not published | $32.50 – $32.50 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $18.76 – $18.76 |
| Providence Holy Family Hospital | Spokane, WA | not published | $19.24 – $19.24 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | not published | $19.24 – $19.24 |
| Jacobi Medical Center | Bronx, NY | not published | $15.30 – $17.05 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $17.05 – $20.48 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | not published | $17.05 – $17.39 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | not published | $17.39 – $17.39 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | not published | $48.83 – $48.83 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | not published |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | not published | $17.05 – $18.11 |
| Riverview Medical Center | Red Bank, NJ | not published | not published |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | not published |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | not published |