Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm cost in Iowa
MEMBRANE AFFINITY FRESH AMNIOTIC 2.5X2.5CM -COST PER SQ CM · HCPCS Q4159
$362.03
lowest in Iowa
$527.20
state median
$4,725.00
highest in Iowa
$1,660.50
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $362.03 | $111.39 – $556.97 | 33 |
| MercyOne Dubuque Medical Center | Dubuque | $362.03 | $107.94 – $556.97 | 41 |
| MercyOne Dyersville Medical Center | Dyersville | $362.03 | $210.53 – $626.93 | 40 |
| MercyOne Clinton Medical Center | Clinton | $362.03 | $107.94 – $556.97 | 40 |
| MercyOne Oelwein Medical Center | Oelwein | $362.03 | $212.87 – $556.97 | 44 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $362.03 | $96.58 – $556.97 | 32 |
| MercyOne Elkader Medical Center | Elkader | $362.03 | $286.67 – $582.15 | 42 |
| MercyOne Des Moines Medical Center | Des Moines | $362.03 | $90.90 – $556.97 | 36 |
| MercyOne Newton Medical Center | Newton | $362.03 | $111.39 – $556.97 | 37 |
| MercyOne North Iowa Medical Center | Mason City | $362.03 | $111.39 – $556.97 | 39 |
| MercyOne New Hampton Medical Center | New Hampton | $450.93 | $274.65 – $693.74 | 43 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $527.20 | $220.70 – $467.56 | 5 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $527.20 | $220.70 – $467.56 | 5 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $527.20 | $220.70 – $467.56 | 5 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge | $527.20 | $220.70 – $467.56 | 5 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $527.20 | $171.34 – $467.56 | 7 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $548.59 | $185.83 – $361.38 | 8 |
| UnityPoint Health - Trinity Muscatine | Muscatine | $548.59 | $157.72 – $375.09 | 9 |
| MercyOne West Des Moines Medical Center | West Des Moines | $556.97 | $90.90 – $556.97 | 36 |
| MercyOne Centerville Medical Center | Centerville | $556.97 | $152.83 – $556.97 | 42 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,063.80 | $220.70 – $1,063.80 | 12 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,270.08 | $220.70 – $836.67 | 8 |
| UnityPoint Health - Marshalltown | Marshalltown | $1,270.08 | $220.70 – $1,174.82 | 8 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids | $1,286.64 | $220.70 – $804.15 | 8 |
| MercyOne Genesis Davenport Medical Center | Davenport | $4,725.00 | not published | 0 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $4,725.00 | $1,721.42 – $3,695.99 | 3 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $4,725.00 | not published | 0 |