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 |
|---|---|---|---|
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $26.31 – $26.31 |
| CHRISTUS Trinity Mother Frances Hospital - South Tyler | Tyler, TX | not published | $26.31 – $26.31 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $26.31 – $26.31 |
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler, TX | not published | $26.31 – $26.31 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $26.31 – $31.49 |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Fort Worth, TX | not published | not published |
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | not published | not published |
| Texas Health Hospital Rockwall | Rockwall, TX | not published | not published |
| Texas Health Presbyterian Hospital Plano | Plano, TX | not published | not published |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Bedford, TX | not published | not published |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | not published | not published |
| Texas Health Heart & Vascular Hospital Arlington | Arlington, TX | not published | not published |
| Texas Health Hospital Frisco | Frisco, TX | not published | not published |
| Texas Health Presbyterian Hospital Dallas | Dallas, TX | not published | not published |
| Texas Health Presbyterian Hospital Denton | Denton, TX | not published | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound, TX | not published | not published |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | not published | not published |
| Texas Health Center for Diagnostics and Surgery Plano | Plano, TX | not published | not published |
| Texas Health Presbyterian Hospital Allen | Allen, TX | not published | not published |
| Texas Health Arlington Memorial Hospital | Arlington, TX | not published | not published |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth, TX | not published | not published |
| AdventHealth Castle Rock | Castle Rock, CO | not published | $27.80 – $46.59 |
| SSM Health Ripon Community Hospital | Ripon, WI | not published | $28.94 – $78.19 |
| Marion General Hospital | Marion, OH | not published | $48.83 – $48.83 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $26.31 – $78.93 |
| Doctors Hospital | Columbus, OH | not published | $48.83 – $77.83 |
| Hardin Memorial Hospital | Kenton, OH | not published | $48.83 – $48.83 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $32.62 – $54.14 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | not published | $24.49 – $85.48 |
| south pointe hospital | Warrensville Heights, OH | not published | $27.30 – $62.32 |
| mercy hospital | Canton, OH | not published | $27.30 – $65.48 |
| medina hospital | Medina, OH | not published | $27.30 – $62.32 |
| indian river hospital | Vero Beach, FL | not published | $33.18 – $33.18 |
| Providence St Joseph Medical Center | Polson, MT | not published | $61.45 – $84.31 |
| marymount hospital | Garfield Heights, OH | not published | $27.30 – $62.32 |
| martin north hospital | Stuart, FL | not published | $33.18 – $33.18 |
| AdventHealth Porter | Denver, CO | not published | $27.80 – $46.59 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | not published | $44.08 – $44.08 |
| Adventhealth Redmond | Rome, GA | not published | $34.10 – $34.10 |
| AdventHealth Avista | Louisville, CO | not published | $27.80 – $46.59 |
| hillcrest hospital | Mayfield Heights, OH | not published | $27.30 – $65.48 |
| lutheran hospital | Cleveland, OH | not published | $27.30 – $62.32 |
| fairview hospital | Cleveland, OH | not published | $27.30 – $65.48 |
| euclid hospital | Euclid, OH | not published | $27.30 – $62.32 |
| cleveland clinic florida weston hospital | Weston, FL | not published | $33.18 – $33.18 |
| avon hospital | Avon, OH | not published | $27.30 – $62.32 |
| akron general | Akron, OH | not published | $61.75 – $65.48 |
| cleveland clinic main campus | Cleveland, OH | not published | $57.23 – $61.75 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | not published | $21.82 – $584.43 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $1.00 – $1.00 |