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 |
|---|---|---|---|
| Sanford Worthington Medical Center | Worthington, MN | not published | $1.00 – $1.00 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $1.02 – $1.02 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | not published | $21.82 – $584.43 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | not published | $44.08 – $44.08 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | not published | $21.82 – $584.43 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | not published | $21.82 – $584.43 |
| Southeastern Medical Center | Cambridge, OH | not published | $48.83 – $48.83 |
| Grant Medical Center | Columbus, OH | not published | $48.83 – $77.83 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | not published | $21.82 – $584.43 |
| Berger Hospital | Circleville, OH | not published | $48.83 – $56.73 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | not published | $21.82 – $584.43 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | not published | $21.82 – $584.43 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | not published | $21.82 – $584.43 |
| UnityPoint Health - Meriter Hospital | Madison, WI | not published | $21.82 – $27.31 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | not published | $21.82 – $584.43 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | not published | $21.82 – $584.43 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | not published | $31.64 – $53.13 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | not published | $21.82 – $584.43 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $36.00 – $73.75 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $29.99 – $54.14 |
| Palisades Medical Center | North Bergen, NJ | not published | $23.21 – $141.04 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | not published | $21.82 – $584.43 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $46.91 – $57.82 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $36.00 – $73.75 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | not published | $44.08 – $44.08 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $56.27 – $165.25 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $30.16 – $175.19 |
| Lincoln Health | Damariscotta, ME | not published | $21.82 – $56.79 |
| Wellstar Windy Hill Hospital | Marietta, GA | not published | $54.74 – $54.74 |
| Stephens Memorial Hospital | Norway, ME | not published | $21.82 – $56.79 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $26.31 – $165.25 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | not published | $29.84 – $29.84 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $25.52 – $165.25 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $26.31 – $26.31 |
| AdventHealth Littleton | Littleton, CO | not published | $27.80 – $46.59 |
| North Central Bronx | Bronx, NY | not published | $26.62 – $39.49 |
| Wellstar West Georgia Medical Center | Lagrange, GA | not published | $54.74 – $54.74 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | not published | $54.74 – $54.74 |
| Wellstar Spalding Regional Hospital | Griffin, GA | not published | $54.74 – $54.74 |
| Wellstar Paulding Hospital | Hiram, GA | not published | $54.74 – $54.74 |
| Wellstar North Fulton Hospital | Roswell, GA | not published | $54.74 – $54.74 |
| Corewell Health Troy | Troy, MI | not published | $40.41 – $40.41 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $40.60 – $40.60 |
| Corewell Health Zeeland | Zeeland, MI | not published | $28.34 – $28.34 |
| Corewell Health Greenville | Greenville, MI | not published | $28.34 – $28.34 |
| Corewell Health Reed City | Po Box 75, MI | not published | $28.34 – $28.34 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $28.34 – $28.34 |
| Aurora West Allis Medical Center | West Allis, WI | not published | $26.33 – $70.08 |
| Aurora Medical Center Washington County | Hartford, WI | not published | $26.33 – $70.08 |
| Aurora Medical Center Summit | Summit, WI | not published | $26.33 – $70.08 |