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 |
|---|---|---|---|
| St Jude Medical Center | Fullerton, CA | $3,900.96 | $37.48 – $56.57 |
| Providence St Joseph Hospital Orange | Orange, CA | $3,919.54 | $37.48 – $56.57 |
| Providence Kodiak Island Medical Center | Kodiak, AK | $4,024.80 | not published |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $4,050.00 | $3,513.00 – $3,513.00 |
| Petaluma Valley Hospital | Petaluma, CA | $4,118.45 | $56.57 – $56.57 |
| Queen of The Valley Medical Center | Napa, CA | $4,118.45 | $56.57 – $56.57 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $4,118.45 | $56.57 – $56.57 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $4,218.75 | $900.00 – $2,598.75 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $4,218.75 | $95.34 – $95.34 |
| University Hospitals Elyria Medical Center | Elyria, OH | $4,218.75 | $53.23 – $53.23 |
| University Hospitals Geneva Medical Center | Geneva, OH | $4,218.75 | $88.18 – $88.18 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $4,218.75 | $45.88 – $114.24 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $4,218.75 | $66.47 – $306.90 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $4,218.75 | not published |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $4,218.75 | $51.89 – $51.89 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $4,218.75 | $70.30 – $70.30 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $4,218.75 | $108.64 – $306.90 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $4,218.75 | $78.22 – $78.22 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $4,218.75 | $61.58 – $2,025.00 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $4,420.50 | $75.66 – $376.43 |
| MercyOne Centerville Medical Center | Centerville, IA | $4,420.50 | $103.29 – $376.43 |
| Providence Centralia Hospital | Centralia, WA | $4,843.18 | $86.16 – $168.77 |
| Providence St Peter Hospital | Olympia, WA | $4,843.18 | $48.65 – $48.65 |
| Jewish Hospital | Cincinnati, OH | $4,920.41 | not published |
| Anderson Hospital | Cincinnati, OH | $4,920.41 | not published |
| Clermont Hospital | Batavia, OH | $4,920.41 | not published |
| Kings Mills Hospital | Mason, OH | $4,920.41 | not published |
| Fairfield Hospital | Fairfield, OH | $4,920.41 | not published |
| Mercy West Hospital | Cincinnati, OH | $4,920.41 | not published |
| Marcum Wallace Hospital | Irvine, KY | $4,920.41 | not published |
| Urbana Hospital | Urbana, OH | $4,920.41 | not published |
| Springfield Medical Center | Springfield, OH | $4,920.41 | not published |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $4,950.50 | $35.20 – $48.65 |
| Willard Hospital | Willard, OH | $4,958.33 | not published |
| Southern Virginia Medical Center | Emporia, VA | $4,992.19 | not published |
| Southside Regional Medical Center | Petersburg, VA | $4,992.19 | not published |
| Orange County Anaheim Medical Center | Anaheim, CA | $5,063.50 | not published |
| Baldwin Park Medical Center | BALDWIN PARK, CA | $5,063.50 | not published |
| Downey Medical Center | Downey, CA | $5,063.50 | not published |
| San Bernardino - Fontana Medical Center | FONTANA, CA | $5,063.50 | not published |
| Riverside Medical Center | RIVERSIDE, CA | $5,063.50 | not published |
| South Bay Medical Center | HARBOR CITY, CA | $5,063.50 | not published |
| San Marcos Medical Center | SAN MARCOS, CA | $5,063.50 | not published |
| West Los Angeles Medical Center | LOS ANGELES, CA | $5,063.50 | not published |
| Woodland Hills Medical Center | WOODLAND HILLS, CA | $5,063.50 | not published |
| Panorama Medical Center | PANORAMA CITY, CA | $5,063.50 | not published |
| San Diego Clairemont Mesa Medical Center | SAN DIEGO, CA | $5,063.50 | not published |
| Los Angeles Sunset Medical Center | LOS ANGELES, CA | $5,063.50 | not published |
| Moreno Valley Medical Center | MORENO VALLEY, CA | $5,063.50 | not published |
| Baptist Hospital | MIAMI, FL | $5,177.90 | $718.99 – $3,740.40 |