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 |
|---|---|---|---|
| Mercy Hospital of Folsom | Folsom, CA | $15,083.48 | $107.25 – $936.00 |
| Lourdes Hospital | Paducah, KY | $15,151.97 | not published |
| Boca Raton Regional Hospital | BOCA RATON, FL | $15,351.70 | $132.75 – $1,605.73 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $15,486.60 | $14.12 – $108.92 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $15,486.60 | $14.12 – $108.92 |
| Parkview Bryan Hospital | Bryan, OH | $15,677.20 | not published |
| Parkview Montpelier Hospital | Montpelier, OH | $15,677.20 | not published |
| French Hospital | San Luis Obispo, CA | $15,733.32 | $250.61 – $1,292.62 |
| Providence Valdez Medical Center | Valdez, AK | $16,170.06 | not published |
| Bakersfield Memorial Hospital | Bakersfield, CA | $16,366.37 | $216.25 – $839.05 |
| Glendale Memorial Hospital Health Center | Glendale, CA | $16,433.66 | $40.00 – $965.25 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $16,544.75 | $250.85 – $778.50 |
| St. Bernardine Medical Center | San Bernardino, CA | $16,786.53 | $195.00 – $799.50 |
| St Ritas Medical Center | Lima, OH | $16,894.85 | not published |
| Arroyo Grande Hospital | Santa Maria, CA | $17,178.21 | $303.37 – $1,292.62 |
| St. John's Camarillo Hospital | Camarillo, CA | $17,578.26 | $186.24 – $605.28 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $17,846.17 | not published |
| Redwood Memorial Hospital | Fortuna, CA | $17,846.17 | not published |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $18,819.49 | not published |
| St Elizabeth Youngstown Hospital | Youngstown, OH | $18,991.01 | not published |
| St Elizabeth Boardman Hospital | Youngstown, OH | $18,991.01 | not published |
| St Joseph Warren Hospital | Warren, OH | $18,991.01 | not published |
| UPMC Presbyterian | Pittsburgh, PA | $19,476.00 | $5,827.55 – $5,827.55 |
| Community Hospital San Bernardino | San Bernardino, CA | $19,710.31 | $204.75 – $975.00 |
| Healdsburg Hospital | Healdsburg, CA | $20,995.50 | not published |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $21,510.09 | not published |
| Providence Holy Cross Medical Center | Mission Hills, CA | $21,510.09 | not published |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $21,510.09 | not published |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $21,510.09 | not published |
| Providence Saint Joseph Medical Center | Burbank, CA | $21,510.09 | not published |
| Providence Saint John's Health Center | Santa Monica, CA | $21,510.09 | not published |
| Kadlec Regional Medical Center | Richland, WA | $21,510.09 | not published |
| St. Mary Medical Center | Long Beach, CA | $21,676.30 | $195.00 – $975.00 |
| Wellstar Cobb Hospital | Austell, GA | $22,121.61 | not published |
| Wellstar Douglas Hospital | Douglasville, GA | $22,121.61 | not published |
| Wellstar Kennestone Hospital | Marietta, GA | $22,121.61 | not published |
| Wellstar MCG Health | Augusta, GA | $22,121.61 | not published |
| Wellstar North Fulton Hospital | Roswell, GA | $22,121.61 | not published |
| Wellstar Paulding Hospital | Hiram, GA | $22,121.61 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $22,121.61 | not published |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $22,121.61 | not published |
| Wellstar West Georgia Medical Center | Lagrange, GA | $22,121.61 | not published |
| Wellstar Windy Hill Hospital | Marietta, GA | $22,121.61 | not published |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $22,121.61 | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | $23,308.05 | not published |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $23,308.05 | not published |
| Texas Health Presbyterian Hospital Allen | Allen, TX | $23,308.05 | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | $23,308.05 | not published |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | $23,308.05 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | $23,308.05 | not published |