Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet cost in Iowa
ALLOGRAFT AMNIOTIC ACTIVEBARRIER 200 2X2CM-Q4100-COST PER SHEET · HCPCS Q4100
$3,763.50
lowest in Iowa
$3,961.09
state median
$12,402.00
highest in Iowa
$9,018.12
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| MercyOne New Hampton Medical Center | New Hampton | $3,763.50 | $53.48 – $135.08 | 43 |
| MercyOne Waterloo Medical Center | Waterloo | $3,961.09 | $22.76 – $113.80 | 33 |
| MercyOne Dubuque Medical Center | Dubuque | $3,961.09 | $22.05 – $113.80 | 41 |
| MercyOne Dyersville Medical Center | Dyersville | $3,961.09 | $43.02 – $128.09 | 40 |
| MercyOne Clinton Medical Center | Clinton | $3,961.09 | $22.05 – $113.80 | 40 |
| MercyOne Oelwein Medical Center | Oelwein | $3,961.09 | $43.49 – $113.80 | 44 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $3,961.09 | $19.73 – $113.80 | 32 |
| MercyOne Elkader Medical Center | Elkader | $3,961.09 | $58.57 – $118.94 | 42 |
| MercyOne Des Moines Medical Center | Des Moines | $3,961.09 | $18.57 – $113.80 | 36 |
| MercyOne Newton Medical Center | Newton | $3,961.09 | $22.76 – $113.80 | 37 |
| MercyOne North Iowa Medical Center | Mason City | $3,961.09 | $22.76 – $113.80 | 39 |
| CHI Health Mercy Corning | Corning | $4,147.20 | $0.02 – $0.04 | 19 |
| CHI Health Missouri Valley | Missouri Valley | $4,233.60 | $0.02 – $0.04 | 20 |
| MercyOne West Des Moines Medical Center | West Des Moines | $6,093.98 | $18.57 – $113.80 | 36 |
| MercyOne Centerville Medical Center | Centerville | $6,093.98 | $31.23 – $113.80 | 42 |
| CHI Health Mercy Council Bluffs | Council Bluffs | $7,299.60 | $0.01 – $0.04 | 13 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids | $8,272.36 | $3,246.90 – $5,666.57 | 5 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $8,337.35 | $3,783.07 – $9,244.03 | 13 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $9,900.02 | $2,524.50 – $6,063.76 | 5 |
| MercyOne Genesis Davenport Medical Center | Davenport | $12,402.00 | not published | 0 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $12,402.00 | $190.74 – $409.53 | 3 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $12,402.00 | not published | 0 |