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 |
|---|---|---|---|
| MUSC Health Black River Medical Center | Cades, SC | not published | $39.50 – $39.50 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $66.06 – $66.06 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $38.40 – $38.40 |
| Gouverneur Hospital | Gouverneur, NY | not published | $38.40 – $38.40 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | not published | $33.92 – $38.40 |
| Newark Wayne Community Hospital | Newark, NY | not published | $33.92 – $44.16 |
| The Unity Hospital of Rochester | Rochester, NY | not published | $33.92 – $38.40 |
| Rochester General Hospital | Rochester, NY | not published | $33.92 – $50.55 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $56.27 – $165.25 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $64.18 – $155.62 |
| Houston Methodist Continuing Care Hospital | Katy, TX | not published | $155.62 – $155.62 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $64.18 – $155.62 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $64.18 – $155.62 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $64.18 – $155.62 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $64.18 – $155.62 |
| Houston Methodist West Hospital | Houston, TX | not published | $64.18 – $155.62 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $64.18 – $155.62 |
| Houston Methodist Hospital | Houston, TX | not published | $64.18 – $140.97 |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | not published | not published |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | not published | $51.46 – $56.27 |
| Parkview Ortho Hospital | Fort Wayne, IN | not published | $51.46 – $56.27 |
| Parkview Noble Hospital | Kendallville, IN | not published | $51.46 – $56.27 |
| Parkview Wabash Hospital | Wabash, IN | not published | $51.46 – $56.27 |
| Parkview LaGrange Hospital | Lagrange, IN | not published | $51.46 – $56.27 |
| Parkview Huntington Hospital | Huntington, IN | not published | $51.46 – $56.27 |
| Parkview DeKalb Hospital | Auburn, IN | not published | $51.46 – $56.27 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | not published | $51.46 – $56.27 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $36.15 – $36.88 |
| Parkwest Medical Center | Knoxville, TN | not published | $36.15 – $36.88 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $36.15 – $36.88 |
| LeConte Medical Center | Sevierville, TN | not published | $36.15 – $36.88 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $56.27 – $165.25 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $36.15 – $36.88 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $36.15 – $36.88 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $26.31 – $26.31 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $36.15 – $36.88 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $26.31 – $30.02 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $26.31 – $31.49 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $65.84 – $65.84 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $26.31 – $89.70 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $26.31 – $30.02 |
| Claiborne Medical Center | Tazewell, TN | not published | $36.15 – $36.88 |
| Roane County Medical Center | Harriman, TN | not published | $36.15 – $36.88 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $26.31 – $89.70 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $26.31 – $89.70 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $26.31 – $89.70 |
| Texas Health Harris Methodist Hospital Stephenville | Stephenville, TX | not published | not published |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $26.31 – $26.31 |
| Texas Health Harris Methodist Hospital Fort Worth | Fort Worth, TX | not published | not published |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $26.31 – $26.31 |