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 |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston, TX | $1,396.50 | $739.20 – $3,360.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $1,396.50 | $739.20 – $3,360.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $1,396.50 | $739.20 – $3,360.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $1,396.50 | $739.20 – $3,360.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | $1,513.80 | $1,056.63 – $2,422.08 |
| TWIN CITIES COMMUNITY HOSPITAL | Templeton, CA | $1,608.39 | $295.00 – $383.50 |
| Southeastern Medical Center | Cambridge, OH | $1,657.87 | not published |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $1,835.25 | not published |
| Advocate South Suburban Hospital | Hazel Crest, IL | $1,842.66 | $1,153.51 – $2,948.26 |
| Banner Estrella Medical Center | Phoenix, AZ | $1,915.64 | $121.19 – $931.24 |
| Banner University Medical Center Phoenix | Phoenix, AZ | $1,999.54 | $121.19 – $630.75 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo, IN | $2,130.00 | $14.12 – $108.92 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $2,139.09 | not published |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $2,139.09 | not published |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $2,139.09 | not published |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $2,139.09 | not published |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $2,139.09 | not published |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $2,139.09 | not published |
| UPMC Muncy | Muncy, PA | $2,221.80 | $555.45 – $3,332.70 |
| Mid Coast Hospital | Brunswick, ME | $2,266.31 | $187.09 – $250.16 |
| Banner Baywood Medical Center | Mesa, AZ | $2,319.89 | $5.58 – $931.24 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $2,321.42 | not published |
| Banner Gateway Medical Center | Gilbert, AZ | $2,558.70 | $121.19 – $931.24 |
| Sentara Leigh Hospital | Norfolk, VA | $2,641.00 | not published |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $2,641.00 | not published |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $2,641.00 | not published |
| Sentara Obici Hospital | Suffolk, VA | $2,641.00 | not published |
| Sentara CarePlex Hospital | Hampton, VA | $2,641.00 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $2,641.00 | not published |
| Sentara Norfolk General Hospital | Norfolk, VA | $2,641.00 | not published |
| Waldo County General Hospital | Belfast, ME | $2,662.48 | $498.39 – $1,168.74 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $2,867.51 | $43.16 – $44.63 |
| UPMC Wellsboro | Wellsboro, PA | $2,929.80 | $604.62 – $3,023.10 |
| UPMC Williamsport | Williamsport, PA | $2,982.60 | $265.00 – $1,192.50 |
| SIERRA VISTA HOSPITAL, INC. | San Luis Obispo, CA | $3,146.04 | $5,296.00 – $6,884.80 |
| UPMC Western Maryland | Cumberland, MD | $3,161.40 | $1,667.00 – $1,667.00 |
| ST HELENA HOSPITAL | Vallejo, CA | $3,330.00 | $22,200.00 – $22,200.00 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $3,763.50 | $53.48 – $135.08 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $3,882.35 | $121.19 – $931.24 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $3,961.09 | $22.76 – $113.80 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $3,961.09 | $22.05 – $113.80 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $3,961.09 | $43.02 – $128.09 |
| MercyOne Clinton Medical Center | Clinton, IA | $3,961.09 | $22.05 – $113.80 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $3,961.09 | $43.49 – $113.80 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $3,961.09 | $19.73 – $113.80 |
| MercyOne Elkader Medical Center | Elkader, IA | $3,961.09 | $58.57 – $118.94 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $3,961.09 | $18.57 – $113.80 |
| MercyOne Newton Medical Center | Newton, IA | $3,961.09 | $22.76 – $113.80 |
| MercyOne North Iowa Medical Center | Mason City, IA | $3,961.09 | $22.76 – $113.80 |
| CHI Health Nebraska Heart | Lincoln, NE | $3,974.40 | $0.01 – $0.04 |