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 4 $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
West Los Angeles Medical Center LOS ANGELES, CA $3,276.00 not published
Woodland Hills Medical Center WOODLAND HILLS, CA $3,276.00 not published
Panorama Medical Center PANORAMA CITY, CA $3,276.00 not published
San Diego Clairemont Mesa Medical Center SAN DIEGO, CA $3,276.00 not published
Los Angeles Sunset Medical Center LOS ANGELES, CA $3,276.00 not published
Moreno Valley Medical Center MORENO VALLEY, CA $3,276.00 not published
West Virginia University Hospitals Morgantown, WV $3,321.50 $82.24 – $536.00
Jewish Hospital Cincinnati, OH $3,345.88 not published
Anderson Hospital Cincinnati, OH $3,345.88 not published
Clermont Hospital Batavia, OH $3,345.88 not published
Kings Mills Hospital Mason, OH $3,345.88 not published
Fairfield Hospital Fairfield, OH $3,345.88 not published
Mercy West Hospital Cincinnati, OH $3,345.88 not published
Marcum Wallace Hospital Irvine, KY $3,345.88 not published
Urbana Hospital Urbana, OH $3,345.88 not published
Springfield Medical Center Springfield, OH $3,345.88 not published
Willard Hospital Willard, OH $3,371.66 not published
Southern Virginia Medical Center Emporia, VA $3,394.69 not published
Southside Regional Medical Center Petersburg, VA $3,394.69 not published
Queen of The Valley Medical Center Napa, CA $3,448.62 $176.69 – $875.87
Redwood City Medical Center Redwood City, CA $3,528.00 not published
Oakland Medical Center Oakland, CA $3,528.00 not published
Sacramento Medical Center SACRAMENTO, CA $3,528.00 not published
San Leandro Medical Center SAN LEANDRO, CA $3,528.00 not published
Santa Clara Medical Center SANTA CLARA, CA $3,528.00 not published
San Rafael Medical Center SAN RAFAEL, CA $3,528.00 not published
Santa Rosa Medical Center SANTA ROSA, CA $3,528.00 not published
South San Francisco Medical Center SOUTH SAN FRANCISCO, CA $3,528.00 not published
South Sacramento Medical Center SACRAMENTO, CA $3,528.00 not published
Vacaville Medical Center VACAVILLE, CA $3,528.00 not published
Walnut Creek Medical Center WALNUT CREEK, CA $3,528.00 not published
Vallejo Medical Center VALLEJO, CA $3,528.00 not published
Antioch Medical Center ANTIOCH, CA $3,528.00 not published
Fremont Medical Center FREMONT, CA $3,528.00 not published
Fresno Medical Center FRESNO, CA $3,528.00 not published
Roseville Medical Center ROSEVILLE, CA $3,528.00 not published
San Jose Medical Center SAN JOSE, CA $3,528.00 not published
San Francisco Medical Center SAN FRANCISCO, CA $3,528.00 not published
St Jude Medical Center Fullerton, CA $3,543.84 $136.05 – $565.30
Mercy Medical Center Mt. Shasta Mt Shasta, CA $3,617.70 $175.45 – $2,070.74
Defiance Hospital Defiance, OH $3,658.92 not published
Providence St Joseph Hospital Orange Orange, CA $3,681.84 $136.05 – $565.30
Petaluma Valley Hospital Petaluma, CA $3,683.22 $167.70 – $809.15
Santa Rosa Memorial Hospital Santa Rosa, CA $3,683.22 $173.16 – $869.96
Providence Kodiak Island Medical Center Kodiak, AK $3,776.37 not published
Allen Hospital Oberlin, OH $3,798.38 not published
Lorain Hospital Lorain, OH $3,798.38 not published
St Anne Hospital Toledo, OH $3,850.17 not published
Tiffin Hospital Tiffin, OH $3,887.81 not published
Lourdes Hospital Paducah, KY $4,042.26 not published

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