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 |
|---|---|---|---|
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | not published | $26.33 – $70.08 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $26.33 – $70.08 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | not published | $26.33 – $70.08 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | not published | $26.33 – $70.08 |
| Aurora Medical Center Kenosha | Kenosha, WI | not published | $26.33 – $70.08 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | not published | $26.33 – $70.08 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $56.27 – $56.27 |
| Aurora Medical Center Grafton | Grafton, WI | not published | $26.33 – $70.08 |
| Aurora Medical Center Burlington | Burlington, WI | not published | $26.33 – $70.08 |
| Aurora Medical Center Bay Area | Marinette, WI | not published | $26.33 – $70.08 |
| Aurora Baycare Medical Center | Green Bay, WI | not published | $26.33 – $70.08 |
| South Brooklyn Health | Brooklyn, NY | not published | $26.62 – $45.78 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $25.52 – $73.32 |
| Shelby Hospital | Shelby, OH | not published | $46.43 – $46.43 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $28.34 – $28.34 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $21.82 – $56.79 |
| Dublin Methodist Hospital | Dublin, OH | not published | $48.83 – $77.83 |
| Corewell Health Gerber | Fremont, MI | not published | $28.34 – $28.34 |
| Corewell Health Big Rapids | Big Rapids, MI | not published | $28.34 – $28.34 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | not published | $38.15 – $53.13 |
| Franklin Memorial Hospital | Farmington, ME | not published | $21.82 – $56.79 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | not published | $38.15 – $53.13 |
| Wellstar MCG Health | Augusta, GA | not published | $54.74 – $54.74 |
| Wellstar Kennestone Hospital | Marietta, GA | not published | $54.74 – $54.74 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $29.99 – $54.14 |
| Wellstar Douglas Hospital | Douglasville, GA | not published | $54.74 – $54.74 |
| Wellstar Cobb Hospital | Austell, GA | not published | $54.74 – $54.74 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $26.31 – $26.31 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $23.13 – $23.13 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $23.13 – $23.13 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $23.13 – $23.13 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $25.52 – $73.32 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $23.13 – $23.13 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $28.94 – $73.24 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $23.13 – $23.13 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | not published | $44.08 – $44.08 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $27.96 – $49.39 |
| AdventHealth Parker | Parker, CO | not published | $27.80 – $46.59 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $25.52 – $73.32 |
| Jacobi Medical Center | Bronx, NY | not published | $26.62 – $39.49 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $26.62 – $45.78 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | not published | $46.95 – $46.95 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | $23.21 – $138.13 |
| Grady Memorial Hospital | Delaware, OH | not published | $48.83 – $48.83 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | not published | $28.94 – $78.19 |
| Riverside Methodist Hospital | Columbus, OH | not published | $48.83 – $77.83 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | not published | $28.94 – $78.19 |
| Riverview Medical Center | Red Bank, NJ | not published | $23.21 – $138.13 |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | $23.21 – $138.13 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $23.21 – $141.04 |