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 |
|---|---|---|---|
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $3,996.00 | $1,600.00 – $77,700.00 |
| CHI Health Mercy Corning | Corning, IA | $4,147.20 | $0.02 – $0.04 |
| CHI Health Missouri Valley | Missouri Valley, IA | $4,233.60 | $0.02 – $0.04 |
| CHI Health St. Elizabeth | Lincoln, NE | $4,320.00 | $0.01 – $0.04 |
| UPMC St. Margaret | Pittsburgh, PA | $4,444.20 | $4,422.77 – $4,422.77 |
| UPMC McKeesport | Mckeesport, PA | $4,449.60 | $3,604.33 – $3,604.33 |
| Berger Hospital | Circleville, OH | $4,528.30 | not published |
| UPMC Magee | Pittsburgh, PA | $4,552.20 | $3,604.33 – $3,604.33 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville, CA | $4,884.00 | $14,700.00 – $14,700.00 |
| CHI Health St. Francis | Grand Island, NE | $5,097.60 | $0.01 – $0.04 |
| Mansfield Hospital | Mansfield, OH | $5,098.58 | not published |
| Shelby Hospital | Shelby, OH | $5,098.58 | not published |
| Inova Alexandria Hospital | Alexandria, VA | $5,216.40 | $1,241.45 – $1,241.45 |
| Inova Fairfax Hospital | Falls Church, VA | $5,216.40 | $1,241.45 – $1,241.45 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $5,216.40 | $1,241.45 – $1,241.45 |
| Inova Loudoun Hospital | Leesburg, VA | $5,216.40 | $1,241.45 – $1,241.45 |
| Inova Mount Vernon Hospital | Alexandria, VA | $5,216.40 | $1,241.45 – $1,241.45 |
| CHI Health Good Samaritan | Kearney, NE | $5,270.40 | $0.01 – $0.04 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $5,744.08 | $17,184.00 – $22,511.04 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $5,994.00 | $14,700.00 – $18,036.90 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $6,093.98 | $18.57 – $113.80 |
| MercyOne Centerville Medical Center | Centerville, IA | $6,093.98 | $31.23 – $113.80 |
| UPMC Cole | Coudersport, PA | $6,451.80 | $916.70 – $2,645.60 |
| Washakie Medical Center | Worland, WY | $6,456.45 | $83.57 – $168.88 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $6,555.62 | $146.38 – $563.00 |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $6,748.04 | $179.05 – $639.45 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $6,838.20 | $5,230.33 – $5,230.33 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $6,964.20 | $14.12 – $108.92 |
| MUSC Health Florence Medical Center | Florence, SC | $7,013.50 | not published |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $7,013.50 | not published |
| MUSC Health Black River Medical Center | Cades, SC | $7,095.00 | not published |
| MUSC Health Main Campus - Charleston | Charleston, SC | $7,095.00 | not published |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $7,095.00 | not published |
| Northridge Hospital Medical Center | Northridge, CA | $7,168.35 | $218.40 – $1,092.00 |
| CHI Health St. Mary's | Nebraska City, NE | $7,171.20 | $0.01 – $0.04 |
| Mercy Medical Center Redding | Redding, CA | $7,201.94 | $381.92 – $1,736.00 |
| CHI Health Plainview | Plainview, NE | $7,257.60 | $1,369.76 – $3,040.86 |
| Mark Twain Medical Center | San Andreas, CA | $7,277.39 | $584.93 – $2,215.78 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $7,299.60 | $0.01 – $0.04 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $7,299.60 | $0.01 – $0.04 |
| Lasting Hope Recovery Center | Omaha, NE | $7,299.60 | $0.01 – $0.04 |
| CHI Health Immanuel | Omaha, NE | $7,299.60 | $0.01 – $0.04 |
| CHI Health Lakeside | Omaha, NE | $7,299.60 | $0.01 – $0.04 |
| CHI Health Midlands | Papillion, NE | $7,299.60 | $0.01 – $0.04 |
| CHI Health Schuyler | Schuyler, NE | $7,344.00 | $0.01 – $0.05 |
| St. Clare Hospital | Lakewood, WA | $7,510.03 | $2,129.55 – $3,194.33 |
| Marion General Hospital | Marion, OH | $7,686.93 | not published |
| St. Anthony Hospital | Gig Harbor, WA | $7,924.50 | $2,129.55 – $3,194.33 |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $7,938.00 | $14,700.00 – $14,700.00 |
| St. Anne Hospital | Burien, WA | $7,955.95 | $1,831.42 – $3,833.19 |