healthcosts.net
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet cost at US hospitals
ALLOGRAFT AMNIOTIC ACTIVEBARRIER 200 2X2CM-Q4100-COST PER SHEET · HCPCS Q4100
$911.25
lowest cash price
$911.25
national median
$19,476.00
highest cash price
14
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $911.25–$19,476.00 — the variation is the story.
Median cash price over time
Mar 1, 2026 ($3,161.40) → Jul 1, 2026 ($911.25)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Maryland | 1 | $3,161.40 | $3,161.40 | $3,161.40 |
| New Jersey | 1 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 7 | $911.25 | $911.25 | $911.25 |
| Pennsylvania | 6 | $2,221.80 | $2,982.60 | $19,476.00 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Geneva Medical Center | Geneva, OH | $911.25 | $243.00 – $1,093.50 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $911.25 | $297.68 – $1,093.50 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $911.25 | not published |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $911.25 | not published |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $911.25 | not published |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $911.25 | not published |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $911.25 | not published |
| UPMC Muncy | Muncy, PA | $2,221.80 | $555.45 – $3,332.70 |
| UPMC Wellsboro | Wellsboro, PA | $2,929.80 | $604.62 – $3,023.10 |
| UPMC Williamsport | Williamsport, PA | $2,982.60 | $265.00 – $1,192.50 |
| UPMC Western Maryland | Cumberland, MD | $3,161.40 | $1,667.00 – $1,667.00 |
| UPMC St. Margaret | Pittsburgh, PA | $4,444.20 | $1,481.40 – $6,295.95 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $6,838.20 | $319.22 – $5,230.33 |
| UPMC Presbyterian | Pittsburgh, PA | $19,476.00 | $717.36 – $5,827.55 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | not published |