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 |
|---|---|---|---|
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $7,992.00 | $11,100.00 – $11,100.00 |
| St. Francis Hospital | Federal Way, WA | $8,176.57 | $2,129.55 – $3,194.33 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $8,272.36 | $3,246.90 – $5,666.57 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $8,295.72 | $364.56 – $1,701.28 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $8,337.35 | $3,783.07 – $9,244.03 |
| Mercy General Hospital | Sacramento, CA | $8,452.95 | $224.25 – $867.75 |
| San Martin Hospital | Las Vegas, NV | $8,519.80 | $407.40 – $937.02 |
| St. Joseph Medical Center | Tacoma, WA | $8,629.25 | $2,129.55 – $3,194.33 |
| Pen Bay Medical Center | Rockport, ME | $8,800.00 | $390.56 – $465.30 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $9,018.12 | $967.25 – $3,791.62 |
| Mercy Medical Center Merced | Merced, CA | $9,186.57 | $79.58 – $332.16 |
| St. Elizabeth Hospital | Enumclaw, WA | $9,206.80 | $724.05 – $3,833.19 |
| Siena Hospital | Henderson, NV | $9,434.12 | $407.40 – $937.02 |
| MUSC Health Kershaw Medical Center | Camden, SC | $9,781.00 | not published |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | $9,900.02 | $2,524.50 – $6,063.76 |
| Sequoia Hospital | Redwood City, CA | $10,179.63 | $27.50 – $2,629.00 |
| Trinity Medical Center East | Steubenville, OH | $10,223.11 | $3,867.60 – $4,963.42 |
| Emory Hospital Perry | Perry, GA | $10,612.09 | not published |
| Emory Hospital Warner Robins | Warner Robins, GA | $10,612.09 | not published |
| Woodland Memorial Hospital | Woodland, CA | $10,624.35 | $107.25 – $975.00 |
| Mercy San Juan Medical Center | Carmichael, CA | $10,624.35 | $107.25 – $828.75 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $11,121.17 | $280.56 – $1,583.16 |
| Methodist Hospital of Sacramento | Sacramento, CA | $11,167.20 | $224.25 – $877.50 |
| Thomas Hospitals | South Charleston, WV | $11,345.00 | not published |
| St. Michael Medical Center | Silverdale, WA | $11,499.19 | $2,683.24 – $3,833.19 |
| Dominican Hospital | Santa Cruz, CA | $11,826.00 | $16.50 – $75.00 |
| MUSC Health Chester Medical Center | Chester, SC | $12,168.00 | not published |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $12,402.00 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $12,402.00 | $179.52 – $488.07 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $12,402.00 | $190.74 – $409.53 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $12,402.00 | $252.45 – $263.67 |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $12,402.00 | not published |
| Jewish Hospital | Cincinnati, OH | $12,541.67 | not published |
| Anderson Hospital | Cincinnati, OH | $12,541.67 | not published |
| Clermont Hospital | Batavia, OH | $12,541.67 | not published |
| Fairfield Hospital | Fairfield, OH | $12,541.67 | not published |
| Mercy West Hospital | Cincinnati, OH | $12,541.67 | not published |
| Urbana Hospital | Urbana, OH | $12,541.67 | not published |
| Springfield Medical Center | Springfield, OH | $12,541.67 | not published |
| Willard Hospital | Willard, OH | $12,638.31 | not published |
| St. Joseph Health Grimes Hospital | Navasota, TX | $13,389.43 | $759.60 – $4,215.78 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $13,389.43 | $759.60 – $3,418.20 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $13,389.43 | $483.87 – $3,418.20 |
| St. Joseph Health College Station Hospital | College Station, TX | $13,389.43 | $759.60 – $3,228.30 |
| Mercy Medical Center Mt. Shasta | Mt Shasta, CA | $13,450.85 | $507.12 – $2,070.74 |
| Defiance Hospital | Defiance, OH | $13,715.06 | not published |
| MaineHealth - Memorial Hospital | North Conway, NH | $13,870.50 | $194.93 – $249.10 |
| Lorain Hospital | Lorain, OH | $14,237.81 | not published |
| St Anne Hospital | Toledo, OH | $14,431.94 | not published |
| Tiffin Hospital | Tiffin, OH | $14,573.02 | not published |