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 |
|---|---|---|---|
| Texas Health Presbyterian Hospital Denton | Denton, TX | $23,308.05 | not published |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | $23,308.05 | not published |
| Texas Health Hospital Frisco | Frisco, TX | $23,308.05 | not published |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | $23,308.05 | not published |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | $23,308.05 | not published |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | $23,308.05 | not published |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $23,308.05 | not published |
| Texas Health Hospital Rockwall | Rockwall, TX | $23,308.05 | not published |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | $23,308.05 | not published |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | $23,308.05 | not published |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | $23,308.05 | not published |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | $23,308.05 | not published |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | $23,308.05 | not published |
| Providence Centralia Hospital | Centralia, WA | $24,465.34 | not published |
| Providence St Peter Hospital | Olympia, WA | $24,465.34 | not published |
| Providence St Mary Medical Center | Walla Walla, WA | $24,803.50 | not published |
| Mercy Gilbert Medical Center | Gilbert, AZ | $24,814.27 | $209.30 – $1,151.15 |
| Providence St Joseph Hospital Orange | Orange, CA | $25,124.02 | not published |
| Providence St Joseph Hospital | Chewelah, WA | $26,038.53 | not published |
| Providence Mount Carmel Hospital | Colville, WA | $26,038.53 | not published |
| Chandler Regional Medical Center | Chandler, AZ | $27,033.43 | $209.30 – $1,255.80 |
| Providence Holy Family Hospital | Spokane, WA | $27,140.79 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $27,140.79 | not published |
| Providence Kodiak Island Medical Center | Kodiak, AK | $27,523.51 | not published |
| Covenant Medical Center | Lubbock, TX | $28,035.16 | $790.40 – $790.40 |
| Covenant Hospital Plainview | Plainview, TX | $28,035.16 | not published |
| Covenant Children's Hospital | Lubbock, TX | $28,035.16 | not published |
| Covenant Hospital Levelland | Levelland, TX | $28,035.16 | not published |
| Covenant Health Hobbs Hospital | Hobbs, NM | $28,035.16 | not published |
| Covenant Specialty Hospital | Lubbock, TX | $28,035.16 | not published |
| Swedish Medical Center Cherry Hill | Seattle, WA | $28,229.24 | not published |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $28,229.24 | not published |
| Swedish Issaquah | Issaquah, WA | $28,229.24 | not published |
| Swedish Edmonds Hospital | Edmonds, WA | $28,229.24 | not published |
| Providence Medford Medical Center | Medford, OR | $29,442.21 | not published |
| Providence Newberg Medical Center | Newberg, OR | $29,442.21 | not published |
| Providence Seaside Hospital | Seaside, OR | $29,442.21 | not published |
| Providence Portland Medical Center | Portland, OR | $29,442.21 | not published |
| Providence St Vincent Medical Center | Portland, OR | $29,442.21 | not published |
| Providence Willamette Falls Medical Center | Oregon City, OR | $29,442.21 | not published |
| Providence Hood River Memorial Hospital | Hood River, OR | $29,442.21 | not published |
| Providence Milwaukie Hospital | Milwaukie, OR | $29,442.21 | not published |
| UPMC Mercy | Pittsburgh, PA | $33,312.60 | $2,846.13 – $2,846.13 |
| Providence Alaska Medical Center | Anchorage, AK | $33,830.98 | not published |
| St Elias Specialty Hospital | Anchorage, AK | $33,830.98 | $790.40 – $790.40 |
| Queen of The Valley Medical Center | Napa, CA | $33,892.73 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $34,580.82 | not published |
| AdventHealth Parker | Parker, CO | $34,658.48 | not published |
| AdventHealth Littleton | Littleton, CO | $34,658.48 | not published |
| AdventHealth Avista | Louisville, CO | $34,658.48 | not published |