Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet cost at US hospitals
ALLOGRAFT AMNIOTIC ACTIVEBARRIER 200 2X2CM-Q4100-COST PER SHEET · HCPCS Q4100
$424.70
lowest cash price
$9,900.02
national median
$68,375.58
highest cash price
330
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $424.70–$68,375.58 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($2,662.48) → Sep 1, 2026 ($6,964.20)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 4 | $16,170.06 | $27,523.51 | $33,830.98 |
| Arizona | 12 | $424.70 | $1,999.54 | $27,033.43 |
| California | 47 | $1,608.39 | $16,366.37 | $45,440.26 |
| Colorado | 6 | $1,198.26 | $34,658.48 | $34,658.48 |
| Florida | 9 | $15,351.70 | $43,548.70 | $43,548.70 |
| Georgia | 21 | $10,612.09 | $22,121.61 | $49,280.00 |
| Illinois | 7 | $1,513.80 | $7,992.00 | $12,402.00 |
| Indiana | 5 | $2,130.00 | $15,486.60 | $68,375.58 |
| Iowa | 22 | $3,763.50 | $3,961.09 | $12,402.00 |
| Kentucky | 7 | $15,151.97 | $68,375.58 | $68,375.58 |
| Maine | 3 | $2,266.31 | $2,662.48 | $8,800.00 |
| Maryland | 1 | $3,161.40 | $3,161.40 | $3,161.40 |
| Michigan | 11 | $476.58 | $1,377.04 | $1,377.04 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 7 | $2,139.09 | $2,139.09 | $2,321.42 |
| Montana | 1 | $18,819.49 | $18,819.49 | $18,819.49 |
| Nebraska | 12 | $3,974.40 | $7,257.60 | $7,344.00 |
| Nevada | 3 | $483.58 | $8,519.80 | $9,434.12 |
| New Hampshire | 1 | $13,870.50 | $13,870.50 | $13,870.50 |
| New Jersey | 19 | $2,867.51 | $2,867.51 | $2,867.51 |
| New Mexico | 1 | $28,035.16 | $28,035.16 | $28,035.16 |
| New York | 11 | not published by hospital | not published by hospital | not published by hospital |
| North Carolina | 12 | $1,375.00 | $1,375.00 | $1,375.00 |
| North Dakota | 1 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 53 | $911.25 | $5,098.58 | $18,991.01 |
| Oklahoma | 1 | $1,835.25 | $1,835.25 | $1,835.25 |
| Oregon | 9 | $7,938.00 | $29,442.21 | $29,442.21 |
| Pennsylvania | 10 | $2,221.80 | $4,449.60 | $33,312.60 |
| South Carolina | 7 | $7,013.50 | $7,095.00 | $12,168.00 |
| South Dakota | 1 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 1 | $1,183.07 | $1,183.07 | $1,183.07 |
| Texas | 34 | $1,396.50 | $23,308.05 | $28,035.16 |
| Virginia | 14 | $1,008.15 | $2,641.00 | $5,216.40 |
| Washington | 21 | $784.40 | $24,465.34 | $35,933.47 |
| West Virginia | 5 | $513.50 | $1,047.41 | $11,345.00 |
| Wyoming | 2 | $544.13 | $544.13 | $6,456.45 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Banner Payson Medical Center | Payson, AZ | $424.70 | $121.19 – $756.90 |
| Henry Ford Rochester Hospital | Rochester, MI | $476.58 | $57.17 – $57.17 |
| Banner Churchill Community Hospital | Fallon, NV | $483.58 | $218.66 – $807.36 |
| Banner University Medical Center Tucson | Tucson, AZ | $484.01 | $121.19 – $794.49 |
| Jackson General Hospital | Ripley, WV | $513.50 | not published |
| Community Hospital | Torrington, WY | $544.13 | $370.04 – $815.77 |
| Camden Clark Medical Center | Parkersburg, WV | $758.14 | not published |
| MultiCare Allenmore Hospital | Tacoma, WA | $784.40 | not published |
| Arizona General Hospital Laveen | Phoenix, AZ | $869.75 | $279.44 – $1,630.74 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $911.25 | $404.60 – $1,093.50 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $911.25 | not published |
| University Hospitals Elyria Medical Center | Elyria, OH | $911.25 | not published |
| University Hospitals Geneva Medical Center | Geneva, OH | $911.25 | not published |
| University Hospitals St. John Medical Center | Westlake OH, OH | $911.25 | not published |
| 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 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $911.25 | not published |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $911.25 | $268.52 – $1,093.50 |
| Arizona General Hospital Mesa | Mesa, AZ | $938.11 | $279.44 – $1,630.74 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | $974.40 | $78.14 – $78.14 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $1,008.15 | not published |
| Sentara RMH Medical Center | Harrisonburg, VA | $1,008.15 | not published |
| Riverside Methodist Hospital | Columbus, OH | $1,030.87 | not published |
| Dublin Methodist Hospital | Dublin, OH | $1,030.87 | not published |
| Grant Medical Center | Columbus, OH | $1,030.87 | not published |
| Doctors Hospital | Columbus, OH | $1,030.87 | not published |
| Berkeley Medical Center | Martinsburg, WV | $1,047.41 | not published |
| Franklin Woods Community Hospital | JOHNSON CITY, TN | $1,183.07 | $23.97 – $23.97 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $1,198.26 | $17.99 – $66.50 |
| West Virginia University Hospitals | Morgantown, WV | $1,371.05 | not published |
| Atrium Health Anson | Wadesboro, NC | $1,375.00 | $60.74 – $385.70 |
| Atrium Health Mercy | Charlotte, NC | $1,375.00 | $72.96 – $373.52 |
| Atrium Health Pineville | Charlotte, NC | $1,375.00 | $40.60 – $373.52 |
| Atrium Health Stanly | Albermarle, NC | $1,375.00 | $48.72 – $389.76 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $1,375.00 | $77.14 – $406.00 |
| Atrium Health Cleveland | Shelby, NC | $1,375.00 | $56.84 – $385.70 |
| Atrium Health Cabarrus | Concord, NC | $1,375.00 | $49.82 – $385.70 |
| Atrium Health Lincoln | Lincolnton, NC | $1,375.00 | $45.80 – $385.70 |
| Atrium Health Union | Monroe, NC | $1,375.00 | $52.78 – $385.70 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $1,375.00 | $124.20 – $373.52 |
| Atrium Health University City | Charlotte, NC | $1,375.00 | $40.60 – $373.52 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $1,375.00 | $77.75 – $365.40 |
| Henry Ford Providence Novi Hospital | Novi, MI | $1,377.04 | $26.74 – $29.79 |
| Henry Ford St John Hospital | Detroit, MI | $1,377.04 | $22.14 – $221.10 |
| Henry Ford River District Hospital | China Township, MI | $1,377.04 | $221.10 – $221.10 |
| Henry Ford Warren Hospital | Warren, MI | $1,377.04 | $221.10 – $221.10 |
| St. Luke's Health - The Vintage Hospital | Houston, TX | $1,396.50 | $739.20 – $3,360.00 |