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 |
|---|---|---|---|
| Raritan Bay Medical Center | Perth Amboy, NJ | not published | $23.21 – $141.04 |
| Queens Hospital Center | Jamaica, NY | not published | $26.62 – $45.78 |
| Corewell Health Pennock | Hastings, MI | not published | $28.34 – $28.34 |
| Ocean University Medical Center | Brick, NJ | not published | $23.21 – $138.13 |
| Hackensack University Medical Center | Hackensack, NJ | not published | $141.04 – $141.04 |
| Bayshore Medical Center | Holmdel, NJ | not published | $23.21 – $23.21 |
| Woodhull Medical Center | Brooklyn, NY | not published | $26.62 – $45.78 |
| Advocate Trinity Hospital | Chicago, IL | not published | $36.00 – $73.75 |
| Mid Coast Hospital | Brunswick, ME | not published | $21.82 – $56.79 |
| Harlem Hospital Center | New York, NY | not published | $26.62 – $45.78 |
| Waldo County General Hospital | Belfast, ME | not published | $21.82 – $56.79 |
| Spring Harbor Hospital | Westbrook, ME | not published | $21.82 – $65.16 |
| Pen Bay Medical Center | Rockport, ME | not published | $21.82 – $56.79 |
| Metropolitan Hospital Center | New York, NY | not published | $26.62 – $45.78 |
| Lincoln Medical Center | Bronx, NY | not published | $26.62 – $45.78 |
| Kings County Hospital Center | Brooklyn, NY | not published | $26.62 – $45.78 |
| Bellevue Hospital Center | NY 10016, NY | not published | $26.62 – $39.49 |
| Advocate South Suburban Hospital | Hazel Crest, IL | not published | $36.00 – $73.75 |
| Advocate Sherman Hospital | Elgin, IL | not published | $46.91 – $52.66 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge, IL | not published | $36.00 – $73.75 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | not published | $36.00 – $73.75 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | not published | $24.49 – $85.48 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | not published | $24.49 – $85.48 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | not published | $24.49 – $85.48 |
| Sanford USD Medical Center | Sioux Falls, SD | not published | $1.00 – $1.00 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | not published | $32.87 – $49.39 |
| O'Bleness Hospital | Athens, OH | not published | $48.83 – $48.83 |
| Mansfield Hospital | Mansfield, OH | not published | $46.43 – $46.43 |