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 |
|---|---|---|---|
| Clara Maass Medical Center | Belleville, NJ | not published | $43.91 – $43.91 |
| Community Medical Center | Toms River, NJ | not published | $42.84 – $42.84 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | not published |
| Sanford Fargo Medical Center | Fargo, ND | not published | $1.00 – $1.00 |
| Palisades Medical Center | North Bergen, NJ | not published | not published |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | not published |
| North Central Bronx | Bronx, NY | not published | $12.66 – $12.66 |
| South Brooklyn Health | Brooklyn, NY | not published | $16.95 – $16.95 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | not published | $864.08 – $864.08 |
| Jacobi Medical Center | Bronx, NY | not published | $12.66 – $12.66 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $16.95 – $16.95 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | not published | $42.84 – $42.84 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | not published | $42.84 – $42.84 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | not published |
| Riverview Medical Center | Red Bank, NJ | not published | not published |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | not published |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | not published |
| Raritan Bay Medical Center | Perth Amboy, NJ | not published | not published |
| Queens Hospital Center | Jamaica, NY | not published | $16.95 – $16.95 |
| Ocean University Medical Center | Brick, NJ | not published | not published |
| Hackensack University Medical Center | Hackensack, NJ | not published | not published |
| Bayshore Medical Center | Holmdel, NJ | not published | not published |
| Woodhull Medical Center | Brooklyn, NY | not published | $16.95 – $16.95 |
| Harlem Hospital Center | New York, NY | not published | $16.95 – $16.95 |
| Metropolitan Hospital Center | New York, NY | not published | $16.95 – $16.95 |
| Lincoln Medical Center | Bronx, NY | not published | $16.95 – $16.95 |
| Kings County Hospital Center | Brooklyn, NY | not published | $16.95 – $16.95 |
| Bellevue Hospital Center | NY 10016, NY | not published | $12.66 – $12.66 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | not published | $46.01 – $47.38 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | not published | $2,154.60 – $6,190.88 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | not published | $2,154.60 – $6,190.88 |
| Cooperman Barnabas Medical Center | Livingston, NJ | not published | $43.91 – $43.91 |
| Sanford USD Medical Center | Sioux Falls, SD | not published | $1.00 – $1.00 |