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 |
|---|---|---|---|
| Providence Willamette Falls Medical Center | Oregon City, OR | $2,679.98 | $30.04 – $86.16 |
| Providence Hood River Memorial Hospital | Hood River, OR | $2,679.98 | not published |
| Providence Milwaukie Hospital | Milwaukie, OR | $2,679.98 | $30.04 – $86.16 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | $2,696.01 | $43.08 – $65.77 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $2,696.01 | $43.08 – $65.77 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $2,696.01 | $32.10 – $65.77 |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | $2,696.01 | $32.10 – $65.77 |
| Kadlec Regional Medical Center | Richland, WA | $2,727.06 | $35.66 – $86.16 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $2,730.00 | $185.62 – $468.86 |
| Providence St Mary Medical Center | Walla Walla, WA | $2,799.30 | $134.90 – $134.90 |
| Providence St Joseph Hospital | Chewelah, WA | $2,817.36 | not published |
| Providence Mount Carmel Hospital | Colville, WA | $2,817.36 | not published |
| St. Joseph Medical Center | Tacoma, WA | $2,821.21 | $1,064.78 – $1,597.17 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $2,822.06 | $43.08 – $43.41 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $2,873.32 | $88.46 – $376.43 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $2,873.32 | $134.39 – $376.43 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $2,873.32 | $142.29 – $423.71 |
| MercyOne Clinton Medical Center | Clinton, IA | $2,873.32 | $106.53 – $376.43 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $2,873.32 | $143.87 – $376.43 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $2,873.32 | $88.46 – $376.43 |
| MercyOne Elkader Medical Center | Elkader, IA | $2,873.32 | $193.75 – $393.44 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $2,873.32 | $75.66 – $376.43 |
| MercyOne Newton Medical Center | Newton, IA | $2,873.32 | $244.68 – $376.43 |
| MercyOne North Iowa Medical Center | Mason City, IA | $2,873.32 | $96.37 – $376.43 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $2,947.39 | $54.62 – $56.57 |
| Redwood Memorial Hospital | Fortuna, CA | $2,947.39 | $54.62 – $54.62 |
| Providence Holy Family Hospital | Spokane, WA | $2,951.36 | $35.20 – $48.65 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $2,951.36 | $35.20 – $48.65 |
| Swedish Medical Center Cherry Hill | Seattle, WA | $3,003.12 | $35.20 – $48.65 |
| Swedish Medical Center - First Hill Campus | Seattle, WA | $3,003.12 | $35.20 – $48.65 |
| Swedish Issaquah | Issaquah, WA | $3,003.12 | $35.20 – $48.65 |
| Swedish Edmonds Hospital | Edmonds, WA | $3,003.12 | $35.20 – $48.65 |
| St. Elizabeth Hospital | Enumclaw, WA | $3,010.03 | $362.03 – $1,916.60 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $3,025.07 | $29.44 – $3,308.69 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | $3,033.06 | $32.10 – $43.08 |
| Southampton Medical Center | Franklin, VA | $3,102.19 | not published |
| Community Hospital San Bernardino | San Bernardino, CA | $3,137.78 | $47.39 – $2,805.00 |
| Covenant Medical Center | Lubbock, TX | $3,239.96 | $95.59 – $129.58 |
| Covenant Hospital Plainview | Plainview, TX | $3,239.96 | not published |
| Covenant Children's Hospital | Lubbock, TX | $3,239.96 | $95.59 – $129.58 |
| Covenant Hospital Levelland | Levelland, TX | $3,239.96 | not published |
| Covenant Health Hobbs Hospital | Hobbs, NM | $3,239.96 | not published |
| Covenant Specialty Hospital | Lubbock, TX | $3,239.96 | not published |
| West Virginia University Hospitals | Morgantown, WV | $3,257.94 | $56.27 – $56.27 |
| Chandler Regional Medical Center | Chandler, AZ | $3,295.60 | $29.44 – $3,609.48 |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $3,354.84 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | $3,424.18 | $37.73 – $56.57 |
| St. Mary Medical Center | Long Beach, CA | $3,450.75 | $47.39 – $2,805.00 |
| Central Medical Center | Seattle, WA | $3,739.20 | not published |
| St. Michael Medical Center | Silverdale, WA | $3,759.50 | $1,341.62 – $1,916.60 |