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

402

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 18 $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 5 $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
Claiborne Medical Center Tazewell, TN not published $120.92 – $126.97
Roane County Medical Center Harriman, TN not published $112.91 – $118.56
CHRISTUS Spohn Hospital - Kleberg Kingsville, TX not published $262.93 – $822.34
CHRISTUS Spohn Hospital - Beeville Beeville, TX not published $262.93 – $822.34
CHRISTUS Spohn Hospital - Alice Alice, TX not published $262.93 – $822.34
CHRISTUS Southeast Texas Jasper Memorial Jasper, TX not published $262.93 – $262.93
CHRISTUS Santa Rosa Hospital - San Marcos San Marcos, TX not published $262.93 – $262.93
CHRISTUS Trinity Mother Frances Hospital - Winnsboro Winnsboro, TX not published $262.93 – $262.93
CHRISTUS Trinity Mother Frances Hospital - South Tyler Tyler, TX not published $262.93 – $262.93
CHRISTUS Trinity Mother Frances Hospital - Jacksonville Jacksonville, TX not published $262.93 – $262.93
CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital Tyler, TX not published $262.93 – $262.93
CHRISTUS Good Shepherd Medical Center - Marshall Marshall, TX not published $0.03 – $420.54
AdventHealth Castle Rock Castle Rock, CO not published $128.65 – $358.67
SSM Health Ripon Community Hospital Ripon, WI not published $289.22 – $716.97
SSM Health Monroe Hospital Monroe, WI not published $120.88 – $715.82
indian river hospital Vero Beach, FL not published $129.95 – $142.95
Providence St Joseph Medical Center Polson, MT not published $529.14 – $725.98
lodi hospital Lodi, OH not published $127.14 – $127.14
AdventHealth Porter Denver, CO not published $128.65 – $358.67
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook, IL not published $133.36 – $216.04
Adventhealth Redmond Rome, GA not published $129.34 – $420.53
AdventHealth Avista Louisville, CO not published $130.08 – $358.67
HCA FLORIDA NORTHSIDE HOSPITAL ST PETERSBURG, FL not published $255.04 – $273.35
UnityPoint Health - Meriter Hospital Madison, WI not published $220.70 – $305.58
cleveland clinic florida weston hospital Weston, FL not published $129.95 – $278.62
Sanford Worthington Medical Center Worthington, MN not published $1.00 – $1.00
Uchicago Medicine Adventhealth La Grange La Grange, IL not published $130.56 – $216.04
SSM Health St. Mary's Hospital - Madison Madison, WI not published $90.66 – $487.20
Advocate Good Samaritan Hospital Downers Grove, IL not published $504.21 – $1,032.86
SSM Health St. Anthony Hospital - Midwest Midwest City, OK not published $119.69 – $590.74
Palisades Medical Center North Bergen, NJ not published $199.89 – $478.35
Advocate Condell Medical Center Libertyville, IL not published $526.62 – $809.79
Advocate Christ Medical Center Oak Lawn, IL not published $504.21 – $1,032.86
Uchicago Medicine Adventhealth Hinsdale Hinsdale, IL not published $130.56 – $216.04
MEDICAL CITY ARLINGTON HOSPITAL RED OAK, TX not published $209.78 – $1,423.01
Lincoln Health Damariscotta, ME not published $305.58 – $520.59
Wellstar Windy Hill Hospital Marietta, GA not published $501.95 – $501.95
Stephens Memorial Hospital Norway, ME not published $305.58 – $520.59
Garrett Regional Medical Center Oakland, MD not published not published
Sentara Northern Virginia Medical Center Woodbridge, VA not published $123.85 – $418.02
RESEARCH PSYCHIATRIC CENTER Kansas City, MO not published $262.93 – $262.93
AdventHealth Littleton Littleton, CO not published $128.65 – $358.67
North Central Bronx Bronx, NY not published $128.93 – $341.81
Wellstar West Georgia Medical Center Lagrange, GA not published $122.46 – $240.01
Wellstar Sylvan Grove Hospital Jackson, GA not published $501.95 – $501.95
Wellstar Spalding Regional Hospital Griffin, GA not published $124.82 – $244.65
Wellstar Paulding Hospital Hiram, GA not published $126.40 – $233.84
Wellstar North Fulton Hospital Roswell, GA not published $126.40 – $233.84
Corewell Health Wayne Wayne, MI not published $115.37 – $321.71
Corewell Health Troy Troy, MI not published $115.32 – $370.51

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