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 5 $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
Ascension St. Vincent Carmel Ambulatory Surgery Center Carmel, IN $4,077.00 $37.56 – $1,934.07
Ascension St. Vincent Naab Surgery Center Indianapolis, IN $4,077.00 $37.56 – $1,934.07
Parkview Bryan Hospital Bryan, OH $4,320.00 not published
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne, IN $4,320.00 $131.66 – $1,697.34
Parkview DeKalb Hospital Auburn, IN $4,320.00 $131.66 – $1,697.34
Parkview Huntington Hospital Huntington, IN $4,320.00 $131.66 – $1,697.34
Parkview LaGrange Hospital Lagrange, IN $4,320.00 $209.78 – $1,697.34
Parkview Montpelier Hospital Montpelier, OH $4,320.00 not published
Parkview Logansport Hospital Logansport, IN $4,320.00 $131.66 – $263.33
Parkview Wabash Hospital Wabash, IN $4,320.00 $209.78 – $1,697.34
Parkview Noble Hospital Kendallville, IN $4,320.00 $131.66 – $1,697.34
Parkview Ortho Hospital Fort Wayne, IN $4,320.00 $131.66 – $1,697.34
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City, IN $4,320.00 $131.66 – $1,697.34
Adventhealth Hendersonville Hendersonville, NC $4,320.67 not published
Providence Centralia Hospital Centralia, WA $4,365.40 $144.11 – $1,686.69
Providence St Peter Hospital Olympia, WA $4,365.40 $121.65 – $486.18
Providence Regional Medical Center Everett - Colby Campus Everett, WA $4,502.94 $141.72 – $486.18
MercyOne Genesis Davenport Medical Center Davenport, IA $4,725.00 not published
MercyOne Genesis Silvis Medical Center Silvis, IL $4,725.00 $257.60 – $700.35
MercyOne Genesis DeWitt Medical Center DeWitt, IA $4,725.00 $1,721.42 – $3,695.99
MercyOne Genesis Aledo Medical Center Aledo, IL $4,725.00 $2,278.35 – $2,379.61
MercyOne Genesis Davenport West Medical Center Davenport, IA $4,725.00 not published
Rappahannock General Hospital Kilmarnock, VA $5,046.32 not published
St Elizabeth Youngstown Hospital Youngstown, OH $5,066.44 not published
St Elizabeth Boardman Hospital Youngstown, OH $5,066.44 not published
St Joseph Warren Hospital Warren, OH $5,066.44 not published
Beckley ARH Hospital Beckley, WV $5,087.40 not published
Harlan ARH Hospital KY 40831, KY $5,087.40 $277.33 – $277.33
Middlesboro ARH Hospital Middlesboro, KY $5,087.40 $277.33 – $277.33
Morgan County ARH Hospital Liberty, KY $5,087.40 $277.33 – $277.33
Mary Breckinridge ARH Hospital Hayden, KY $5,087.40 $277.33 – $277.33
ARH Our Lady of the Way Hospital Martin, KY $5,087.40 $277.33 – $277.33
Tug Valley ARH Regional Medical Center Williamson, KY $5,087.40 $277.33 – $277.33
Hazard ARH Regional Medical Center Hazard, KY $5,087.40 $277.33 – $277.33
Barbourville ARH Hospital Barbourville, KY $5,087.40 $277.33 – $277.33
Paintsville ARH Hospital Paintsville, KY $5,087.40 $241.69 – $241.69
Mercy Gilbert Medical Center Gilbert, AZ $5,115.57 $269.93 – $12,313.84
Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) Kokomo, IN $5,437.20 $37.56 – $1,152.46
Maryview Hospital Portsmouth, VA $5,504.18 not published
Harbour View Medical Center Suffolk, VA $5,504.18 not published
Chandler Regional Medical Center Chandler, AZ $5,573.06 $269.93 – $13,433.28
St Ritas Medical Center Lima, OH $5,720.29 not published
Mary Immaculate Hospital Newport News, VA $5,905.80 not published
Providence Alaska Medical Center Anchorage, AK $5,920.20 $1,939.73 – $1,939.73
St Elias Specialty Hospital Anchorage, AK $5,920.20 $121.26 – $823.11
Richmond Community Hospital Richmond, VA $6,146.78 not published
St Francis Medical Center Midlothian, VA $6,628.73 not published
Memorial Regional Hospital Mechanicsville, VA $6,628.73 not published
St Mary's Hospital Richmond, VA $6,668.89 not published
St Francis Downtown Greenville, SC $7,994.25 not published

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