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 |
|---|---|---|---|
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | not published | $67.82 – $67.82 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | not published | $43.89 – $43.89 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | not published | $32.40 – $32.40 |
| Raritan Bay Medical Center | Perth Amboy, NJ | not published | not published |
| University Hospitals Samaritan Medical Center | Ashland, OH | not published | $41.50 – $41.50 |
| University Hospitals St. John Medical Center | Westlake OH, OH | not published | $28.64 – $28.64 |
| University Hospitals Geneva Medical Center | Geneva, OH | not published | $55.05 – $55.05 |
| Queens Hospital Center | Jamaica, NY | not published | $17.05 – $20.48 |
| University Hospitals Elyria Medical Center | Elyria, OH | not published | $33.23 – $33.23 |
| Corewell Health Pennock | Hastings, MI | not published | $17.70 – $17.70 |
| Ocean University Medical Center | Brick, NJ | not published | not published |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | not published | $33.93 – $33.93 |
| Hackensack University Medical Center | Hackensack, NJ | not published | not published |
| Bayshore Medical Center | Holmdel, NJ | not published | not published |
| Woodhull Medical Center | Brooklyn, NY | not published | $17.05 – $20.48 |
| Advocate Trinity Hospital | Chicago, IL | not published | $34.10 – $34.10 |
| Mid Coast Hospital | Brunswick, ME | not published | $17.05 – $33.72 |
| Harlem Hospital Center | New York, NY | not published | $17.05 – $20.48 |
| Waldo County General Hospital | Belfast, ME | not published | $17.05 – $33.72 |
| Spring Harbor Hospital | Westbrook, ME | not published | $17.05 – $32.76 |
| Pen Bay Medical Center | Rockport, ME | not published | $17.05 – $33.72 |
| Metropolitan Hospital Center | New York, NY | not published | $17.05 – $20.48 |
| Lincoln Medical Center | Bronx, NY | not published | $17.05 – $20.48 |
| Kings County Hospital Center | Brooklyn, NY | not published | $17.05 – $20.48 |
| Bellevue Hospital Center | NY 10016, NY | not published | $15.30 – $17.05 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | not published | $59.52 – $59.52 |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $34.10 – $34.10 |
| Advocate Sherman Hospital | Elgin, IL | not published | $34.10 – $34.10 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $34.10 – $34.10 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $34.10 – $34.10 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | not published | $17.70 – $37.95 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | not published | $17.70 – $37.95 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | not published | $17.70 – $37.95 |
| Cooperman Barnabas Medical Center | Livingston, NJ | not published | $17.05 – $17.82 |
| Sanford USD Medical Center | Sioux Falls, SD | not published | $1.00 – $1.00 |
| Swedish Medical Center Cherry Hill | Seattle, WA | not published | $19.24 – $19.24 |
| Providence Alaska Medical Center | Anchorage, AK | not published | $91.16 – $91.16 |