Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm cost at US hospitals

MEMBRANE AFFINITY FRESH AMNIOTIC 2.5X2.5CM -COST PER SQ CM · HCPCS Q4159

$119.50

lowest cash price

$1,660.50

national median

$8,335.20

highest cash price

401

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $119.50–$8,335.20 — the variation is the story.

Cheapest published cash price

$119.50

Braxton County Memorial Hospital — Gassaway, WV

Most expensive published cash price

$8,335.20

UPMC Wellsboro — Wellsboro, PA

Median cash price over time

Sep 1, 2025 ($383.71) → Sep 1, 2026 ($2,134.59)

By state

State Hospitals Lowest cash Median Highest
Alaska 4 $2,269.41 $3,776.37 $5,920.20
Arizona 2 $5,115.57 $5,115.57 $5,573.06
Arkansas 1 $1,657.50 $1,657.50 $1,657.50
California 53 $174.51 $3,276.00 $3,683.22
Colorado 12 not published by hospital not published by hospital not published by hospital
Florida 16 $426.44 $778.00 $1,606.78
Georgia 11 not published by hospital not published by hospital not published by hospital
Illinois 32 $310.32 $1,327.20 $4,725.00
Indiana 14 $1,782.00 $4,320.00 $5,437.20
Iowa 27 $362.03 $527.20 $4,725.00
Kansas 2 not published by hospital not published by hospital not published by hospital
Kentucky 18 $2,134.59 $5,087.40 $5,087.40
Louisiana 6 not published by hospital not published by hospital not published by hospital
Maine 7 $383.71 $383.71 $383.71
Maryland 1 not published by hospital not published by hospital not published by hospital
Michigan 20 $171.12 $171.12 $1,752.80
Minnesota 13 $144.80 $1,023.94 $1,194.59
Missouri 15 $338.79 $338.79 $958.33
Montana 2 $1,886.00 $1,886.00 $1,886.00
Nevada 2 $1,042.63 $1,042.63 $1,154.53
New Hampshire 1 $1,031.04 $1,031.04 $1,031.04
New Jersey 21 $184.53 $216.51 $305.12
New Mexico 2 $2,975.28 $2,975.28 $2,975.28
New York 17 $127.14 $127.14 $1,960.00
North Carolina 13 $637.50 $637.50 $4,320.67
North Dakota 2 $792.00 $792.00 $1,008.00
Ohio 65 $119.50 $3,037.50 $5,720.29
Oklahoma 7 $386.75 $509.60 $975.00
Oregon 10 $2,397.75 $2,397.75 $2,448.00
Pennsylvania 3 $143.50 $282.60 $8,335.20
South Carolina 11 $930.00 $930.00 $7,994.25
South Dakota 2 $331.20 $331.20 $1,800.00
Tennessee 17 not published by hospital not published by hospital not published by hospital
Texas 103 $394.52 $1,524.60 $2,975.28
Virginia 22 $2,109.49 $5,504.18 $6,668.89
Washington 23 $1,944.00 $2,656.90 $4,502.94
West Virginia 17 $119.50 $342.50 $5,087.40
Wisconsin 22 $310.00 $740.25 $1,410.75

All hospitals

Hospital Location Cash price Negotiated range
Braxton County Memorial Hospital Gassaway, WV $119.50 $239.00 – $239.00
Barnesville Hospital Barnesville, OH $119.50 $239.00 – $239.00
Jefferson Medical Center Ranson, WV $119.50 $239.00 – $239.00
Bellevue Hospital Center NY 10016, NY $127.14 $128.93 – $341.81
Kings County Hospital Center Brooklyn, NY $127.14 $128.93 – $457.50
Woodhull Medical Center Brooklyn, NY $127.14 $128.93 – $457.50
Queens Hospital Center Jamaica, NY $127.14 $128.93 – $457.50
Berkeley Medical Center Martinsburg, WV $143.50 $126.52 – $287.00
Princeton Community Hospital Princeton, WV $143.50 $126.52 – $736.93
Reynolds Memorial Hospital Glen Dale, WV $143.50 $82.24 – $287.00
Uniontown Hospital Uniontown, PA $143.50 $126.52 – $294.79
Wetzel County Hospital New Martinsville, WV $143.50 $126.52 – $287.00
Weirton Medical Center Weirton, WV $143.50 $126.52 – $643.91
Southeastern Medical Center Cambridge, OH $144.62 $117.73 – $122.44
Sanford Thief River Falls Medical Center Thief River Falls, MN $144.80 $62.17 – $162.90
Sanford Behavioral Health Thief River Falls Thief River Falls, MN $144.80 $62.17 – $162.90
Thomas Hospitals South Charleston, WV $159.00 $126.52 – $640.31
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr., MI $171.12 $66.49 – $2,898.44
Henry Ford West Bloomfield Hospital West Bloomfield, MI $171.12 $66.49 – $1,857.96
Henry Ford Wyandotte Hospital: Wyandotte, MI $171.12 $66.49 – $2,110.38
Henry Ford Macomb Hospital Clinton Twp, MI $171.12 $66.49 – $2,100.86
TWIN CITIES COMMUNITY HOSPITAL Templeton, CA $174.51 $144.95 – $3,240.90
Robert Wood Johnson University Hospital Rahway Rahway, NJ $184.53 $212.69 – $381.24
Clara Maass Medical Center Belleville, NJ $203.23 $212.69 – $381.24
Community Medical Center Toms River, NJ $211.91 $212.69 – $381.24
Jersey City Medical Center Jersey City, NJ $212.32 $212.69 – $385.22
Newark Beth Israel Medical Center Newark, NJ $212.83 $212.69 – $381.24
Cooperman Barnabas Medical Center Livingston, NJ $216.51 $212.69 – $381.24
Monmouth Medical Center Long Branch, NJ $223.56 $212.69 – $381.24
Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ $234.45 $212.69 – $381.24
Robert Wood Johnson University Hospital Somerset Somerville, NJ $241.75 $212.69 – $381.24
Monmouth Medical Center Southern Campus Lakewood, NJ $242.87 $212.69 – $381.24
Trinitas Regional Medical Center Elizabeth, NJ $268.50 $276.52 – $1,606.44
UPMC Cole Coudersport, PA $282.60 $130.56 – $376.80
Robert Wood Johnson University Hospital New Brunswick, NJ $305.12 $64.70 – $381.24
Aurora Medical Center Bay Area Marinette, WI $310.00 $263.31 – $642.58
HSHS St. Francis Hospital LITCHFIELD, IL $310.32 $209.78 – $343.00
HSHS St. Joseph's Hospital HIGHLAND, IL $310.32 $209.78 – $431.00
Sanford Chamberlain Medical Center Chamberlain, SD $331.20 $141.59 – $372.60
SSM Health DePaul Hospital - St. Louis Bridgeton, MO $338.79 $124.65 – $629.40
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO $338.79 $629.40 – $651.57
SSM Health St. Clare Hospital - Fenton Fenton, MO $338.79 $124.65 – $629.40
SSM Health St. Joseph Hospital - St. Charles Saint Charles, MO $338.79 $124.65 – $629.40
SSM Health St. Mary's Hospital - St. Louis Richmond Heights, MO $338.79 $124.65 – $629.40
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis, MO $338.79 $124.65 – $629.40
Summersville Regional Medical Center Summersville, WV $342.50 $239.00 – $239.00
Henry Ford Providence Novi Hospital Novi, MI $353.92 $612.45 – $612.45
MercyOne Waterloo Medical Center Waterloo, IA $362.03 $111.39 – $556.97
MercyOne Dubuque Medical Center Dubuque, IA $362.03 $107.94 – $556.97
MercyOne Dyersville Medical Center Dyersville, IA $362.03 $210.53 – $626.93

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