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
MercyOne Clinton Medical Center Clinton, IA $362.03 $107.94 – $556.97
MercyOne Oelwein Medical Center Oelwein, IA $362.03 $212.87 – $556.97
MercyOne Cedar Falls Medical Center Cedar Falls, IA $362.03 $96.58 – $556.97
MercyOne Elkader Medical Center Elkader, IA $362.03 $286.67 – $582.15
MercyOne Des Moines Medical Center Des Moines, IA $362.03 $90.90 – $556.97
MercyOne Newton Medical Center Newton, IA $362.03 $111.39 – $556.97
MercyOne North Iowa Medical Center Mason City, IA $362.03 $111.39 – $556.97
Waldo County General Hospital Belfast, ME $383.71 $154.14 – $361.11
Mercy Hospital Logan County Guthrie, OK $386.75 $222.50 – $222.50
Mercy Hospital Kingfisher Kingfisher, OK $386.75 $222.50 – $222.50
Ascension Seton Cedar Park Hospital Cedar Park, TX $394.52 $176.07 – $176.07
Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) Pensacola, FL $426.44 $395.03 – $433.83
MercyOne New Hampton Medical Center New Hampton, IA $450.93 $274.65 – $693.74
St. Luke's Health - The Vintage Hospital Houston, TX $467.95 $223.30 – $1,015.00
Baylor St Luke's Medical Center Houston, TX $467.95 $223.30 – $1,015.00
St. Luke's Health - Sugar Land Hospital Sugar Land, TX $467.95 $223.30 – $1,015.00
St. Luke's Health - Springwoods Village Hospital Spring, TX $467.95 $223.30 – $1,015.00
St. Luke's Health - Lakeside Hospital The Woodlands, TX $467.95 $223.30 – $1,015.00
Potomac Valley Hospital Keyser, WV $474.50 $239.00 – $239.00
Mercy Hospital Aurora Aurora, MO $482.30 $131.08 – $131.08
Jackson General Hospital Ripley, WV $485.00 $239.00 – $239.00
Ascension Sacred Heart Bay (Bay County Health System, Inc.) Panama City, FL $490.40 $320.77 – $395.03
Mercy Hospital Ardmore Northwest Ardmore, OK $509.60 $115.47 – $359.82
UnityPoint Health - Grinnell Regional Medical Center Grinnell, IA $527.20 $220.70 – $467.56
UnityPoint Health - Iowa Lutheran Hospital Des Moines, IA $527.20 $220.70 – $467.56
UnityPoint Health - Jones Regional Medical Center Anamosa, IA $527.20 $220.70 – $467.56
UnityPoint Health - Trinity Regional Medical Center Fort Dodge, IA $527.20 $220.70 – $467.56
UnityPoint Health - St. Lukes Downtown Sioux City, IA $527.20 $171.34 – $467.56
UnityPoint Health - Trinity Bettendorf Bettendorf, IA $548.59 $185.83 – $361.38
UnityPoint Health - Trinity Moline Rock Island, IL $548.59 $185.83 – $361.38
UnityPoint Health - Trinity Muscatine Muscatine, IA $548.59 $157.72 – $375.09
MercyOne West Des Moines Medical Center West Des Moines, IA $556.97 $90.90 – $556.97
MercyOne Centerville Medical Center Centerville, IA $556.97 $152.83 – $556.97
Atrium Health Anson Wadesboro, NC $637.50 $172.04 – $1,092.50
Atrium Health Mercy Charlotte, NC $637.50 $206.66 – $1,058.00
Atrium Health Pineville Charlotte, NC $637.50 $115.00 – $1,058.00
Atrium Health Stanly Albermarle, NC $637.50 $138.00 – $1,104.00
Atrium Health Behavioral Health Charlotte Charlotte, NC $637.50 $218.50 – $1,150.00
Atrium Health Cleveland Shelby, NC $637.50 $161.00 – $1,092.50
Atrium Health Cabarrus Concord, NC $637.50 $141.11 – $1,092.50
Atrium Health Lincoln Lincolnton, NC $637.50 $129.72 – $1,092.50
Atrium Health Union Monroe, NC $637.50 $149.50 – $1,092.50
Carolinas Rehabilitation Charlotte Charlotte, NC $637.50 $351.79 – $1,058.00
Atrium Health University City Charlotte, NC $637.50 $115.00 – $1,058.00
Atrium Health Carolinas Medical Center Charlotte, NC $637.50 $220.23 – $1,035.00
martin north hospital Stuart, FL $685.20 $129.95 – $409.82
Riverside Methodist Hospital Columbus, OH $698.82 $119.99 – $713.68
Dublin Methodist Hospital Dublin, OH $698.82 $119.99 – $713.68
Berger Hospital Circleville, OH $698.82 $119.99 – $447.70
Grant Medical Center Columbus, OH $698.82 $119.99 – $713.68

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