Membrane amnio clarix 4x3cm 1k -cost per sq cm cost at US hospitals
MEMBRANE AMNIO CLARIX 4X3CM 1K -COST PER SQ CM · HCPCS Q4155
$304.00
lowest cash price
$3,900.96
national median
$11,756.25
highest cash price
201
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $304.00–$11,756.25 — the variation is the story.
Cheapest published cash price
$304.00
CJW Medical Center-Chippenham Hospital Campus — CHESTERFIELD, VAMedian cash price over time
Dec 1, 2025 ($625.00) → Sep 1, 2026 ($304.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 4 | $2,545.69 | $4,024.80 | $6,288.75 |
| Arizona | 3 | $2,191.54 | $3,025.07 | $3,295.60 |
| Arkansas | 1 | $590.70 | $590.70 | $590.70 |
| California | 61 | $617.40 | $5,063.50 | $5,453.00 |
| Colorado | 13 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 59 | $2,696.01 | $5,177.90 | $5,600.00 |
| Georgia | 11 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 18 | $2,062.49 | $6,772.54 | $10,403.95 |
| Indiana | 8 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 24 | $2,730.00 | $2,873.32 | $4,420.50 |
| Kansas | 2 | not published by hospital | not published by hospital | not published by hospital |
| Kentucky | 3 | $4,920.41 | $4,920.41 | $5,944.50 |
| Louisiana | 6 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 14 | not published by hospital | not published by hospital | not published by hospital |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 8 | not published by hospital | not published by hospital | not published by hospital |
| Montana | 2 | $2,084.64 | $2,084.64 | $2,084.64 |
| Nevada | 2 | $1,042.63 | $1,042.63 | $1,154.53 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 10 | not published by hospital | not published by hospital | not published by hospital |
| New Mexico | 2 | $3,239.96 | $3,239.96 | $3,239.96 |
| New York | 17 | not published by hospital | not published by hospital | not published by hospital |
| North Carolina | 12 | $625.00 | $625.00 | $625.00 |
| North Dakota | 1 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 60 | $4,218.75 | $4,920.41 | $8,412.19 |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 9 | $2,679.98 | $2,679.98 | $4,050.00 |
| South Carolina | 10 | $11,756.25 | $11,756.25 | $11,756.25 |
| South Dakota | 1 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 18 | $826.98 | $826.98 | $826.98 |
| Texas | 70 | $3,239.96 | $3,239.96 | $3,239.96 |
| Virginia | 22 | $304.00 | $8,094.38 | $9,807.19 |
| Washington | 22 | $2,455.30 | $2,951.36 | $4,950.50 |
| West Virginia | 1 | $3,257.94 | $3,257.94 | $3,257.94 |
| Wisconsin | 21 | not published by hospital | not published by hospital | not published by hospital |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD, VA | $304.00 | $22.36 – $90.37 |
| 82-3844150 BMH Crittenden | West Memphis, AR | $590.70 | $31.59 – $33.30 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $617.40 | $47.39 – $2,100.00 |
| Atrium Health Anson | Wadesboro, NC | $625.00 | $56.10 – $356.25 |
| Atrium Health Mercy | Charlotte, NC | $625.00 | $33.68 – $345.00 |
| Atrium Health Pineville | Charlotte, NC | $625.00 | $37.50 – $345.00 |
| Atrium Health Stanly | Albermarle, NC | $625.00 | $45.00 – $360.00 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $625.00 | $71.25 – $375.00 |
| Atrium Health Cleveland | Shelby, NC | $625.00 | $52.50 – $356.25 |
| Atrium Health Cabarrus | Concord, NC | $625.00 | $46.01 – $356.25 |
| Atrium Health Lincoln | Lincolnton, NC | $625.00 | $42.30 – $356.25 |
| Atrium Health Union | Monroe, NC | $625.00 | $48.75 – $356.25 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $625.00 | $114.71 – $345.00 |
| Atrium Health University City | Charlotte, NC | $625.00 | $37.50 – $345.00 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $625.00 | $33.68 – $337.50 |
| 62-0123940 BMH Collierville | Collierville, TN | $826.98 | $26.33 – $33.30 |
| San Martin Hospital | Las Vegas, NV | $1,042.63 | $38.99 – $2,068.62 |
| Mercy Medical Center Merced | Merced, CA | $1,081.50 | $47.39 – $2,016.00 |
| Siena Hospital | Henderson, NV | $1,154.53 | $38.99 – $2,068.62 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $1,541.40 | $43.41 – $4,074.00 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $1,558.20 | $47.39 – $3,780.00 |
| SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES | Simi Valley, CA | $1,709.60 | $92.85 – $92.85 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $1,828.32 | $7,500.00 – $9,825.00 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $1,854.59 | $92.85 – $26,250.00 |
| French Hospital | San Luis Obispo, CA | $1,926.29 | $47.39 – $1,292.62 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $2,025.00 | $92.85 – $8,463.85 |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $2,062.49 | not published |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $2,076.90 | $52.36 – $56.57 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $2,076.90 | $52.36 – $56.57 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $2,076.90 | $52.36 – $56.57 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $2,076.90 | $52.36 – $56.57 |
| Providence Saint Joseph Medical Center | Burbank, CA | $2,076.90 | $52.36 – $56.57 |
| Providence Saint John's Health Center | Santa Monica, CA | $2,076.90 | $52.36 – $56.57 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $2,084.64 | $46.43 – $84.31 |
| Arroyo Grande Hospital | Santa Maria, CA | $2,103.20 | $47.39 – $1,292.62 |
| St. John's Camarillo Hospital | Camarillo, CA | $2,151.46 | $47.39 – $3,831.36 |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $2,191.54 | $29.44 – $1,623.24 |
| St. Clare Hospital | Lakewood, WA | $2,455.30 | $1,064.78 – $1,597.17 |
| Healdsburg Hospital | Healdsburg, CA | $2,500.02 | not published |
| Providence Valdez Medical Center | Valdez, AK | $2,545.69 | not published |
| St. Anthony Hospital | Gig Harbor, WA | $2,590.80 | $1,064.78 – $1,597.17 |
| St. Anne Hospital | Burien, WA | $2,601.08 | $915.71 – $1,916.60 |
| Glendale Memorial Hospital Health Center | Glendale, CA | $2,616.15 | $40.00 – $2,776.95 |
| St. Bernardine Medical Center | San Bernardino, CA | $2,672.33 | $47.39 – $2,300.10 |
| St. Francis Hospital | Federal Way, WA | $2,673.21 | $1,064.78 – $1,597.17 |
| Providence Medford Medical Center | Medford, OR | $2,679.98 | not published |
| Providence Newberg Medical Center | Newberg, OR | $2,679.98 | $30.04 – $30.04 |
| Providence Seaside Hospital | Seaside, OR | $2,679.98 | not published |
| Providence Portland Medical Center | Portland, OR | $2,679.98 | $30.04 – $86.16 |
| Providence St Vincent Medical Center | Portland, OR | $2,679.98 | $30.04 – $86.16 |