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.

Cheapest published cash price

$424.70

Banner Payson Medical Center — Payson, AZ

Most expensive published cash price

$68,375.58

Baptist Health Paducah — Paducah, KY

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
AdventHealth Porter Denver, CO $34,658.48 not published
AdventHealth Castle Rock Castle Rock, CO $34,658.48 not published
California Hospital Medical Center Los Angeles, CA $35,795.43 $204.75 – $770.25
Providence Regional Medical Center Everett - Colby Campus Everett, WA $35,933.47 not published
St Jude Medical Center Fullerton, CA $36,274.57 not published
Baptist Hospital MIAMI, FL $43,548.70 $173.17 – $1,317.60
Bethesda Hospital East BOYNTON BEACH, FL $43,548.70 $412.85 – $1,464.00
Doctors Hospital CORAL GABLES, FL $43,548.70 $256.20 – $1,317.60
Baptist Health Hospital Doral SOUTH MIAMI, FL $43,548.70 $254.74 – $1,317.60
Fishermens Community Hospital MARATHON, FL $43,548.70 $244.49 – $1,317.60
Homestead Hospital HOMESTEAD, FL $43,548.70 $167.89 – $1,317.60
Mariners Hospital TAVERNIER, FL $43,548.70 $253.27 – $1,317.60
West Kendall Baptist Hospital MIAMI, FL $43,548.70 $250.34 – $1,317.60
Petaluma Valley Hospital Petaluma, CA $45,440.26 not published
Santa Rosa Memorial Hospital Santa Rosa, CA $45,440.26 not published
Emory Long-Term Acute Care Hospital Decatur, GA $49,280.00 not published
Emory Decatur Hospital Decatur, GA $49,280.00 not published
Emory Hillandale Hospital Lithonia, GA $49,280.00 not published
Emory Johns Creek Hospital Johns Creek, GA $49,280.00 not published
Emory Rehabilitation Hospital Atlanta, GA $49,280.00 not published
Emory Saint Joseph's Hospital Atlanta, GA $49,280.00 not published
Emory University Hospital Ne, GA $49,280.00 not published
Emory University Hospital Midtown Atlanta, GA $49,280.00 not published
Baptist Health Floyd New Albany, IN $68,375.58 $47.71 – $14,251.95
Baptist Health Hardin Elizabethtown, KY $68,375.58 $9,501.30 – $19,002.60
Baptist Health Corbin Corbin, KY $68,375.58 $9,501.30 – $19,002.60
Baptist Health La Grange La Grange, KY $68,375.58 $9,501.30 – $19,002.60
Baptist Health Lexington Lexington, KY $68,375.58 $9,501.30 – $19,316.14
Baptist Health Louisville Louisville, KY $68,375.58 $9,501.30 – $19,002.60
Baptist Health Paducah Paducah, KY $68,375.58 $9,501.30 – $19,002.60
Monmouth Medical Center Southern Campus Lakewood, NJ not published $43.91 – $43.91
Henry Ford Macomb Hospital Clinton Twp, MI not published $46.01 – $47.14
south pointe hospital Warrensville Heights, OH not published $1,001.02 – $1,159.07
mercy hospital Canton, OH not published $898.12 – $987.93
medina hospital Medina, OH not published $880.00 – $1,018.95
Monmouth Medical Center Long Branch, NJ not published $43.91 – $43.91
Jersey City Medical Center Jersey City, NJ not published $42.84 – $42.84
marymount hospital Garfield Heights, OH not published $848.40 – $982.36
lodi hospital Lodi, OH not published $1,466.95 – $1,698.58
hillcrest hospital Mayfield Heights, OH not published $940.30 – $1,088.77
lutheran hospital Cleveland, OH not published $859.24 – $994.91
fairview hospital Cleveland, OH not published $902.53 – $1,045.03
euclid hospital Euclid, OH not published $960.71 – $1,112.40
cleveland clinic childrens hospital for rehabilitation Cleveland, OH not published $1,530.93 – $1,772.66
avon hospital Avon, OH not published $937.70 – $955.56
akron general Akron, OH not published $874.33 – $1,012.39
cleveland clinic main campus Cleveland, OH not published $1,101.49 – $1,275.41
Sanford Worthington Medical Center Worthington, MN not published $1.00 – $1.00
Sanford Bemidji Medical Center Bemidji, MN not published $1.02 – $1.02
Newark Beth Israel Medical Center Newark, NJ not published $43.91 – $43.91

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