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
Corewell Health Trenton Trenton, MI not published $115.37 – $322.92
Corewell Health Taylor Taylor, MI not published $115.37 – $324.73
Corewell Health Gross Pointe Grosse Pointe, MI not published $115.37 – $372.30
Corewell Health Zeeland Zeeland, MI not published $124.00 – $244.05
Corewell Health Greenville Greenville, MI not published $124.00 – $244.05
Corewell Health Reed City Po Box 75, MI not published $244.05 – $244.05
Corewell Health Blodgett Hospital East Grand Rapids, MI not published $124.00 – $244.05
Aurora West Allis Medical Center West Allis, WI not published $263.31 – $642.58
Aurora Medical Center Washington County Hartford, WI not published $263.31 – $642.58
Aurora Medical Center Summit Summit, WI not published $263.31 – $642.58
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee, WI not published $263.31 – $642.58
Aurora Psychiatric Hospital Wauwatosa, WI not published $263.31 – $642.58
Aurora Medical Center Sheboygan County Sheboygan, WI not published $263.31 – $642.58
Aurora Medical Center Fond du Lac Fond Du Lac, WI not published $263.31 – $642.58
Aurora Medical Center Kenosha Kenosha, WI not published $263.31 – $642.58
Aurora Medical Center Manitowoc Two Rivers, WI not published $263.31 – $642.58
Aurora Medical Center Grafton Grafton, WI not published $263.31 – $642.58
Aurora Baycare Medical Center Green Bay, WI not published $263.31 – $642.58
South Brooklyn Health Brooklyn, NY not published $128.93 – $457.50
HCA FLORIDA SOUTH SHORE HOSPITAL PARRISH, FL not published $255.04 – $273.35
Corewell Health Butterworth Hospital Grand Rapids, MI not published $124.00 – $244.05
Corewell Health Gerber Fremont, MI not published $244.05 – $244.05
Corewell Health Big Rapids Big Rapids, MI not published $124.00 – $244.05
SSM Health St. Mary's Hospital - Janesville Janesville, WI not published $94.01 – $487.20
Franklin Memorial Hospital Farmington, ME not published $305.58 – $520.59
SSM Health St. Clare Hospital - Baraboo Baraboo, WI not published $90.66 – $487.20
Wellstar MCG Health Augusta, GA not published $109.05 – $501.95
Wellstar Kennestone Hospital Marietta, GA not published $126.40 – $233.84
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City, OK not published $119.69 – $590.74
Wellstar Douglas Hospital Douglasville, GA not published $125.26 – $231.74
Wellstar Cobb Hospital Austell, GA not published $126.40 – $233.84
MEDICAL CITY GREEN OAKS HOSPITAL DALLAS, TX not published $262.93 – $262.93
CHRISTUS St. Vincent Regional Medical Center Santa Fe, NM not published $4,581.89 – $4,581.89
CHRISTUS St. Francis Cabrini Hospital Alexandria, LA not published $323.91 – $1,080.00
CHRISTUS Shreveport-Bossier Health System-Highland Shreveport, LA not published $323.91 – $1,080.00
CHRISTUS Ochsner St. Patrick Hospital Lake Charles, LA not published $323.91 – $1,080.00
CHRISTUS Ochsner Lake Area Hospital Lake Charles, LA not published $323.91 – $1,080.00
CHRISTUS Louisiana Surgical Hospital Alexandria, LA not published $289.22 – $671.55
CHRISTUS Coushatta Health Care Center Coushatta, LA not published $323.91 – $1,080.00
Uchicago Medicine Adventhealth Glenoaks Glendale Heights, IL not published $133.36 – $216.04
SSM Health Cardinal Glennon Children's Hospital Saint Louis, MO not published $380.19 – $636.47
AdventHealth Parker Parker, CO not published $128.65 – $358.67
HCA FLORIDA PASADENA HOSPITAL South Pasadena, FL not published $255.04 – $273.35
Jacobi Medical Center Bronx, NY not published $128.93 – $341.81
Elmhurst Hospital Center NY 11373, NY not published $128.93 – $457.50
SSM Health St. Mary's Hospital - Jefferson City Jefferson City, MO not published $123.96 – $224.36
Southern Ocean Medical Center Manahawkin, NJ not published $199.89 – $468.46
SSM Health Waupun Memorial Hospital Waupun, WI not published $289.22 – $716.97
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac, WI not published $92.32 – $716.97
Riverview Medical Center Red Bank, NJ not published $199.89 – $468.46

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