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
Doctors Hospital Columbus, OH $698.82 $122.62 – $713.68
SSM Health St. Anthony Hospital - Shawnee Shawnee, OK $715.55 $119.69 – $590.74
O'Bleness Hospital Athens, OH $720.11 $118.83 – $120.01
Van Wert Hospital Van Wert, OH $720.11 $127.79 – $130.34
Grady Memorial Hospital Delaware, OH $720.11 $119.99 – $124.79
Hardin Memorial Hospital Kenton, OH $720.11 $447.70 – $447.70
Marion General Hospital Marion, OH $720.11 $118.83 – $123.58
New Ulm Medical Center MN 56073, MN $723.91 $121.84 – $681.72
United Hospital Center Bridgeport, WV $734.00 $126.52 – $287.00
Aurora Medical Center Burlington Burlington, WI $740.25 $263.31 – $642.58
cleveland clinic main campus Cleveland, OH $747.49 $117.73 – $566.20
akron general Akron, OH $747.49 $117.73 – $566.20
avon hospital Avon, OH $747.49 $117.73 – $566.20
euclid hospital Euclid, OH $747.49 $117.73 – $566.20
fairview hospital Cleveland, OH $747.49 $117.73 – $566.20
lutheran hospital Cleveland, OH $747.49 $117.73 – $566.20
hillcrest hospital Mayfield Heights, OH $747.49 $117.73 – $566.20
marymount hospital Garfield Heights, OH $747.49 $117.73 – $566.20
medina hospital Medina, OH $747.49 $117.73 – $566.20
mercy hospital Canton, OH $747.49 $117.73 – $566.20
south pointe hospital Warrensville Heights, OH $747.49 $117.73 – $566.20
AdventHealth Orlando Orlando, FL $778.00 not published
Sanford Medical Center Bismarck Bismarck, ND $792.00 $313.93 – $891.00
Mansfield Hospital Mansfield, OH $889.15 $118.83 – $123.58
Shelby Hospital Shelby, OH $889.15 $399.79 – $399.79
St. Luke's Health Memorial Lufkin Lufkin, TX $922.95 $100.36 – $1,139.94
St. Luke's Health Memorial Livingston Livingston, TX $922.95 $100.36 – $922.95
St. Luke's Health Memorial San Augustine San Augustine, TX $922.95 $100.36 – $922.95
MUSC Health Black River Medical Center Cades, SC $930.00 $115.74 – $394.97
MUSC Health Main Campus - Charleston Charleston, SC $930.00 $115.74 – $665.60
MUSC Health Florence Medical Center Florence, SC $930.00 $115.74 – $394.97
MUSC Health Orangeburg Medical Center Orangeburg, SC $930.00 not published
MUSC Health Lancaster Medical Center Lancaster, SC $930.00 $120.93 – $394.97
Sanford Bemidji Medical Center Bemidji, MN $954.00 $1.02 – $279.64
LAFAYETTE REGIONAL HEALTH CENTER Lexington, MO $958.33 $209.78 – $209.78
Mercy Hospital Oklahoma City Oklahoma City, OK $975.00 $115.47 – $334.63
Sanford Fargo Medical Center Fargo, ND $1,008.00 $1.00 – $335.57
Abbott Northwestern Hospital MN 55407, MN $1,023.94 $121.84 – $388.03
Mercy Hospital MN 55443 | 550 Osborne Road NE. Fridley, MN $1,023.94 $121.84 – $388.03
United Hospital MN | 1175 Nininger Road. Hastings, MN $1,023.94 $121.84 – $426.74
MaineHealth - Memorial Hospital North Conway, NH $1,031.04 $305.58 – $430.55
San Martin Hospital Las Vegas, NV $1,042.63 $389.66 – $2,693.76
UnityPoint Health - Finley Hospital Dubuque, IA $1,063.80 $220.70 – $1,063.80
MUSC Health Kershaw Medical Center Camden, SC $1,066.00 $120.29 – $394.97
OSF Little Company of Mary Medical Center Evergreen Park, IL $1,107.00 not published
Siena Hospital Henderson, NV $1,154.53 $389.66 – $2,693.76
Allina Health Faribault Medical Center Faribualt, MN $1,194.59 $121.84 – $453.43
Buffalo Hospital Buffalo, MN $1,194.59 $121.84 – $453.43
Cambridge Medical Center Cambridge, MN $1,194.59 $121.84 – $453.43
River Falls Area Hospital River Falls, MN $1,194.59 $121.84 – $681.72

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