Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet cost in Nebraska
ALLOGRAFT AMNIOTIC ACTIVEBARRIER 200 2X2CM-Q4100-COST PER SHEET · HCPCS Q4100
$3,974.40
lowest in Nebraska
$7,257.60
state median
$7,344.00
highest in Nebraska
$9,018.12
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| CHI Health Nebraska Heart | Lincoln | $3,974.40 | $0.01 – $0.04 | 10 |
| CHI Health St. Elizabeth | Lincoln | $4,320.00 | $0.01 – $0.04 | 10 |
| CHI Health St. Francis | Grand Island | $5,097.60 | $0.01 – $0.04 | 11 |
| CHI Health Good Samaritan | Kearney | $5,270.40 | $0.01 – $0.04 | 11 |
| CHI Health St. Mary's | Nebraska City | $7,171.20 | $0.01 – $0.04 | 16 |
| CHI Health Plainview | Plainview | $7,257.60 | $1,369.76 – $3,040.86 | 19 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $7,299.60 | $0.01 – $0.04 | 12 |
| Lasting Hope Recovery Center | Omaha | $7,299.60 | $0.01 – $0.04 | 11 |
| CHI Health Immanuel | Omaha | $7,299.60 | $0.01 – $0.04 | 12 |
| CHI Health Lakeside | Omaha | $7,299.60 | $0.01 – $0.04 | 12 |
| CHI Health Midlands | Papillion | $7,299.60 | $0.01 – $0.04 | 12 |
| CHI Health Schuyler | Schuyler | $7,344.00 | $0.01 – $0.05 | 18 |