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
Owatonna Hospital Owatonna, MN $1,194.59 $121.84 – $453.43
UnityPoint Health - Allen Hospital Waterloo, IA $1,270.08 $220.70 – $836.67
UnityPoint Health - Marshalltown Marshalltown, IA $1,270.08 $220.70 – $1,174.82
UnityPoint Health - St. Luke's Hospital Cedar Rapids, IA $1,286.64 $220.70 – $804.15
OSF Sacred Heart Medical Center – Urbana Danville, IL $1,302.00 not published
OSF Saint Anthony's Health Center Alton, IL $1,302.00 $133.36 – $136.02
OSF Saint Elizabeth Medical Center Ottawa, IL $1,302.00 not published
OSF St Joseph Medical Center Bloomington, IL $1,302.00 not published
OSF St Mary Medical Center Galesburg, IL $1,302.00 not published
Boca Raton Regional Hospital BOCA RATON, FL $1,326.00 $17.57 – $1,332.12
MUSC Health Chester Medical Center Chester, SC $1,326.00 $120.29 – $394.97
OSF Saint Anthony Medical Center Rockford, IL $1,327.20 not published
OSF Saint Francis Medical Center Peoria, IL $1,327.20 not published
Adventhealth Tampa Tampa, FL $1,352.11 not published
Adventhealth Riverview Riverview, FL $1,352.11 not published
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton, WI $1,410.75 $473.65 – $2,228.00
Henry Ford Rochester Hospital Rochester, MI $1,459.35 $826.39 – $2,259.03
BAYLOR UNIVERSITY MEDICAL CENTER Dallas, TX $1,524.60 $118.76 – $1,432.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham, TX $1,524.60 $140.00 – $1,020.21
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110, TX $1,524.60 $118.76 – $850.18
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco, TX $1,524.60 $118.76 – $1,432.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station, TX $1,524.60 $118.76 – $1,020.21
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple, TX $1,524.60 $351.41 – $1,020.21
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth, TX $1,524.60 $118.76 – $1,432.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE Grapevine, TX $1,524.60 $118.96 – $1,432.66
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco, TX $1,524.60 $118.76 – $850.18
BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING Irving, TX $1,524.60 $118.76 – $1,432.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE Rowlett, TX $1,524.60 $118.76 – $1,432.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY McKinney, TX $1,524.60 $118.76 – $1,432.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY Frisco, TX $1,524.60 $118.76 – $1,432.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE Suite 100, TX $1,524.60 $118.76 – $1,020.21
BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO Plano, TX $1,524.60 $118.76 – $1,432.66
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park, TX $1,524.60 $118.76 – $1,020.21
BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR Taylor, TX $1,524.60 $215.38 – $906.86
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple, TX $1,524.60 $118.76 – $1,020.21
BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON Denton, TX $1,524.60 $118.76 – $1,432.66
BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY McKinney, TX $1,524.60 $118.76 – $1,432.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE Waxahachie, TX $1,524.60 $118.76 – $1,432.66
BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE Waxahachie, TX $1,524.60 $118.76 – $1,432.66
Rochester General Hospital Rochester, NY $1,592.50 $204.96 – $1,456.67
Newark Wayne Community Hospital Newark, NY $1,592.50 $120.89 – $1,456.67
Adventhealth Carrollwood Tampa, FL $1,606.78 not published
Mercy Orthopedic Hospital Fort Smith Fort Smith, AR $1,657.50 $107.77 – $239.88
Texas Health Harris Methodist Hospital Alliance Fort Worth, TX $1,660.50 not published
Texas Health Arlington Memorial Hospital Arlington, TX $1,660.50 not published
Texas Health Presbyterian Hospital Allen Allen, TX $1,660.50 not published
Texas Health Center for Diagnostics and Surgery Plano Plano, TX $1,660.50 not published
Texas Health Harris Methodist Hospital Azle Azle, TX $1,660.50 not published
Texas Health Presbyterian Hospital Flower Mound Flower Mound, TX $1,660.50 not published
Texas Health Presbyterian Hospital Denton Denton, TX $1,660.50 not published

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