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
St Francis Eastside Greenville, SC $7,994.25 not published
UPMC Wellsboro Wellsboro, PA $8,335.20 $204.96 – $225.45
AHN WEXFORD HOSPITAL WEXFORD, PA not published $221.86 – $343.67
GROVE CITY HOSPITAL GROVE CITY, PA not published $221.86 – $343.67
MEDICAL CITY WEATHERFORD HOSPITAL Weatherford, TX not published $209.78 – $1,423.01
MEDICAL CITY MCKINNEY HOSPITAL McKinney, TX not published $209.78 – $1,423.01
RESEARCH MEDICAL CENTER Kansas City, MO not published $209.78 – $209.78
MultiCare Deaconess Hospital Spokane, WA not published $135.90 – $567.04
OVERLAND PARK REGIONAL MEDICAL CENTER SHAWNEE, KS not published $209.78 – $209.78
MENORAH MEDICAL CENTER Overland Park, KS not published $209.78 – $209.78
LEE'S SUMMIT MEDICAL CENTER Lee's Summit, MO not published $209.78 – $209.78
CENTERPOINT MEDICAL CENTER Independence, MO not published $209.78 – $209.78
HCA FLORIDA WOODMONT HOSPITAL TAMARAC, FL not published $209.78 – $209.78
HCA FLORIDA ORANGE PARK HOSPITAL MIDDLEBURG, FL not published $209.78 – $209.78
HCA FLORIDA MEMORIAL HOSPITAL JACKSONVILLE, FL not published $209.78 – $209.78
HCA HealthONE BELMAR ER, A PART OF SWEDISH LAKEWOOD, CO not published $209.78 – $381.42
HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION Denver, CO not published $209.78 – $381.42
HCA HealthONE SKY RIDGE Lone Tree, CO not published $209.78 – $381.42
CENTRAL PARK ER, A PART OF ROSE DENVER, CO not published $209.78 – $381.42
HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's Denver, CO not published $209.78 – $209.78
HCA HealthONE MOUNTAIN RIDGE Thornton, CO not published $209.78 – $381.42
HCA HealthONE AURORA Aurora, CO not published $209.78 – $381.42
HCA HOUSTON WEST HOUSTON, TX not published $209.78 – $569.11
HCA HOUSTON SOUTHEAST PASADENA, TX not published $209.78 – $569.11
HCA HOUSTON TOMBALL HOUSTON, TX not published $209.78 – $569.11
HCA HOUSTON NORTHWEST SPRING, TX not published $209.78 – $569.11
HCA HOUSTON PEARLAND Pearland, TX not published $209.78 – $569.11
HCA HOUSTON KINGWOOD HUMBLE, TX not published $209.78 – $569.11
HCA HOUSTON CLEAR LAKE FRIENDSWOOD, TX not published $209.78 – $569.11
HCA HOUSTON MEDICAL CENTER Houston, TX not published $209.78 – $569.11
HCA HOUSTON CONROE CONROE, TX not published $209.78 – $569.11
TRICITIES HOSPITAL HOPEWELL, VA not published $336.92 – $336.92
HENRICO DOCTORS HOSPITAL RICHMOND, VA not published $336.92 – $336.92
STONESPRINGS HOSPITAL CENTER Dulles, VA not published $336.92 – $366.07
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg, VA not published $336.92 – $336.92
LEWISGALE MEDICAL CENTER ROANOKE, VA not published $381.42 – $381.42
RESTON HOSPITAL CENTER VIENNA, VA not published $336.92 – $366.07
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG, VA not published $336.92 – $336.92
LEWISGALE HOSPITAL-PULASKI PULASKI, VA not published $336.92 – $336.92
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR, VA not published $336.92 – $336.92
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD, VA not published $223.49 – $336.92
HCA HEALTHCARE BRIGHTON PARK ER MONCKS CORNER, SC not published $209.78 – $541.15
LIVE OAK MENTAL HEALTH AND WELLNESS Ladson, SC not published $336.92 – $541.15
CHRISTUS Santa Rosa Emergency Center - Alon San Antonio, TX not published $262.93 – $420.54
SUMMIT MEDICAL CENTER MT JULIET, TN not published $336.92 – $391.14
STONECREST MEDICAL CENTER Smyrna, TN not published $336.92 – $391.14
SOUTHERN HILLS MEDICAL CENTER ANTIOCH, TN not published $336.92 – $391.14
SKYLINE MADISON CAMPUS NASHVILLE, TN not published $336.92 – $391.14
NORTHCREST MEDICAL CENTER SPRINGFIELD, TN not published $336.92 – $391.14
HORIZON MEDICAL CENTER DICKSON, TN not published $336.92 – $391.14

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