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
Texas Health Presbyterian Hospital Dallas Dallas, TX $1,660.50 not published
Texas Health Hospital Frisco Frisco, TX $1,660.50 not published
Texas Health Heart & Vascular Hospital Arlington Arlington, TX $1,660.50 not published
Texas Health Presbyterian Hospital Kaufman Kaufman, TX $1,660.50 not published
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford, TX $1,660.50 not published
Texas Health Presbyterian Hospital Plano Plano, TX $1,660.50 not published
Texas Health Hospital Rockwall Rockwall, TX $1,660.50 not published
Texas Health Harris Methodist Hospital Southlake Southlake, TX $1,660.50 not published
Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX $1,660.50 not published
Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX $1,660.50 not published
Texas Health Harris Methodist Hospital Stephenville Stephenville, TX $1,660.50 not published
Texas Health Harris Methodist Hospital Cleburne Cleburne, TX $1,660.50 not published
OSF Holy Family Medical Center Monmouth, IL $1,736.00 not published
OSF Saint Clare Medical Center Princeton, IL $1,736.00 not published
OSF Saint James John W Albrecht Medical Center Pontiac, IL $1,736.00 not published
OSF Saint Paul Medical Center Mendota, IL $1,736.00 not published
OSF St Francis Hospital Escanaba, MI $1,752.80 not published
Ascension St. Vincent Evansville (St. Mary's Health, Inc.) IN 47750|10388 Warrick Wellness Trail Newburgh, IN $1,782.00 $37.56 – $1,152.46
Sanford USD Medical Center Sioux Falls, SD $1,800.00 $1.00 – $746.10
Providence Cedars-Sinai Tarzana Medical Center Tarzana, CA $1,871.63 $160.06 – $565.30
Providence Holy Cross Medical Center Mission Hills, CA $1,871.63 $160.06 – $565.30
Providence Little Co of Mary Med Center San Pedro San Pedro, CA $1,871.63 $160.06 – $565.30
Providence Little Company of Mary Med Center Torrance Torrance, CA $1,871.63 $160.06 – $565.30
Providence Saint Joseph Medical Center Burbank, CA $1,871.63 $160.06 – $565.30
Providence Saint John's Health Center Santa Monica, CA $1,871.63 $160.06 – $565.30
St Patrick Hospital - Broadway Campus Missoula, MT $1,886.00 $128.41 – $725.98
French Hospital San Luis Obispo, CA $1,926.29 $175.45 – $4,815.72
Mercy Medical Center Redding Redding, CA $1,936.74 $175.45 – $1,736.00
Central Medical Center Seattle, WA $1,944.00 not published
The Unity Hospital of Rochester Rochester, NY $1,960.00 $204.96 – $1,266.67
Ascension Seton Northwest (Ascension Seton) Austin, TX $2,049.30 $176.07 – $176.07
Ascension Seton Medical Center Austin (Ascension Seton) Austin, TX $2,049.30 $176.07 – $176.07
Arroyo Grande Hospital Santa Maria, CA $2,103.20 $175.45 – $4,815.72
Southampton Medical Center Franklin, VA $2,109.49 not published
Baptist Health Floyd New Albany, IN $2,134.59 $50.55 – $3,089.34
Baptist Health Hardin Elizabethtown, KY $2,134.59 $241.69 – $4,119.12
Baptist Health Corbin Corbin, KY $2,134.59 $241.69 – $4,119.12
Baptist Health La Grange La Grange, KY $2,134.59 $241.69 – $4,119.12
Baptist Health Lexington Lexington, KY $2,134.59 $241.69 – $4,187.09
Baptist Health Louisville Louisville, KY $2,134.59 $167.82 – $4,119.12
Baptist Health Paducah Paducah, KY $2,134.59 $204.95 – $4,119.12
St. John's Camarillo Hospital Camarillo, CA $2,151.46 $265.43 – $1,740.96
Northwestern Medicine Central DuPage Hospital IL 60190, IL $2,219.00 not published
Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital Lake Forest, IL $2,219.00 not published
Northwestern Medicine McHenry Hospital McHenry, IL $2,219.00 not published
St. Elizabeth Community Hospital Red Bluff, CA $2,230.88 $175.45 – $1,701.28
Providence Valdez Medical Center Valdez, AK $2,269.41 not published
Healdsburg Hospital Healdsburg, CA $2,346.00 $167.67 – $2,063.13
Providence Medford Medical Center Medford, OR $2,397.75 not published
Providence Newberg Medical Center Newberg, OR $2,397.75 $136.11 – $258.69

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