Membrane amniotic barrier 4x4cm-q4163-cost per sq cm cost at US hospitals
MEMBRANE AMNIOTIC BARRIER 4X4CM-Q4163-COST PER SQ CM · HCPCS Q4163
$127.14
lowest cash price
$607.31
national median
$3,929.12
highest cash price
53
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $127.14–$3,929.12 — the variation is the story.
Median cash price over time
Jan 1, 2026 ($2,427.44) → Sep 1, 2026 ($3,141.50)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 2 | not published by hospital | not published by hospital | not published by hospital |
| California | 14 | not published by hospital | not published by hospital | not published by hospital |
| Colorado | 12 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 11 | $2,427.44 | $2,608.94 | $2,722.36 |
| Georgia | 11 | not published by hospital | not published by hospital | not published by hospital |
| Illinois | 15 | $1,632.13 | $1,632.13 | $1,632.13 |
| Indiana | 9 | $3,141.50 | $3,141.60 | $3,141.60 |
| Iowa | 24 | $607.31 | $607.31 | $934.33 |
| Kansas | 2 | not published by hospital | not published by hospital | not published by hospital |
| Kentucky | 1 | not published by hospital | not published by hospital | not published by hospital |
| 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 | $171.12 | $171.12 | $171.12 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Missouri | 14 | $1,039.86 | $1,039.86 | $1,039.86 |
| Montana | 2 | not published by hospital | not published by hospital | not published by hospital |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 21 | not published by hospital | not published by hospital | not published by hospital |
| New York | 17 | $127.14 | $127.14 | $127.14 |
| North Carolina | 2 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 1 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 46 | $3,141.60 | $3,141.60 | $3,141.60 |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 8 | $320.25 | $320.25 | $320.25 |
| South Carolina | 8 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 1 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 19 | $178.80 | $178.80 | $382.92 |
| Texas | 48 | not published by hospital | not published by hospital | not published by hospital |
| Virginia | 12 | $3,929.12 | $3,929.12 | $3,929.12 |
| Washington | 20 | not published by hospital | not published by hospital | not published by hospital |
| Wisconsin | 21 | not published by hospital | not published by hospital | not published by hospital |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Woodhull Medical Center | Brooklyn, NY | $127.14 | $126.79 – $316.99 |
| Bellevue Hospital Center | NY 10016, NY | $127.14 | $126.79 – $310.68 |
| Kings County Hospital Center | Brooklyn, NY | $127.14 | $126.79 – $316.99 |
| Queens Hospital Center | Jamaica, NY | $127.14 | $126.79 – $316.99 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $171.12 | $66.49 – $241.80 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $171.12 | $66.49 – $228.16 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $171.12 | $66.49 – $228.16 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $171.12 | $66.49 – $228.16 |
| Ascension Saint Thomas River Park | McMinnville, TN | $178.80 | $220.83 – $458.69 |
| Providence Medford Medical Center | Medford, OR | $320.25 | not published |
| Providence Newberg Medical Center | Newberg, OR | $320.25 | $136.11 – $253.13 |
| Providence Seaside Hospital | Seaside, OR | $320.25 | not published |
| Providence Portland Medical Center | Portland, OR | $320.25 | $136.11 – $276.65 |
| Providence St Vincent Medical Center | Portland, OR | $320.25 | $136.11 – $276.65 |
| Providence Willamette Falls Medical Center | Oregon City, OR | $320.25 | $136.11 – $276.65 |
| Providence Hood River Memorial Hospital | Hood River, OR | $320.25 | not published |
| Providence Milwaukie Hospital | Milwaukie, OR | $320.25 | $136.11 – $276.65 |
| Ascension Saint Thomas Highlands | Sparta, TN | $382.92 | $220.83 – $458.69 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $607.31 | $57.66 – $245.37 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $607.31 | $92.75 – $276.19 |
| MercyOne Clinton Medical Center | Clinton, IA | $607.31 | $69.44 – $245.37 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $607.31 | $93.78 – $245.37 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $607.31 | $57.66 – $245.37 |
| MercyOne Elkader Medical Center | Elkader, IA | $607.31 | $126.29 – $256.46 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $607.31 | $49.32 – $245.37 |
| MercyOne Newton Medical Center | Newton, IA | $607.31 | $159.49 – $245.37 |
| MercyOne North Iowa Medical Center | Mason City, IA | $607.31 | $62.81 – $245.37 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $607.31 | $87.60 – $245.37 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $756.44 | $100.89 – $254.84 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $934.33 | $49.32 – $245.37 |
| MercyOne Centerville Medical Center | Centerville, IA | $934.33 | $67.33 – $245.37 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $1,039.86 | $124.65 – $295.11 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $1,039.86 | $153.43 – $295.11 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $1,039.86 | $124.65 – $295.11 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $1,039.86 | $124.65 – $295.11 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $1,039.86 | $124.65 – $295.11 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $1,039.86 | $124.65 – $295.11 |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $1,632.13 | not published |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | $2,427.44 | $273.27 – $300.60 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | $2,608.94 | $222.26 – $273.27 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | $2,722.36 | $273.27 – $300.60 |
| Parkview DeKalb Hospital | Auburn, IN | $3,141.50 | $131.66 – $670.00 |
| Parkview Huntington Hospital | Huntington, IN | $3,141.50 | $131.66 – $670.00 |
| Parkview Noble Hospital | Kendallville, IN | $3,141.50 | $131.66 – $670.00 |
| Parkview Bryan Hospital | Bryan, OH | $3,141.60 | not published |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | $3,141.60 | $131.66 – $670.00 |
| Parkview LaGrange Hospital | Lagrange, IN | $3,141.60 | $209.78 – $670.00 |
| Parkview Montpelier Hospital | Montpelier, OH | $3,141.60 | not published |
| Parkview Logansport Hospital | Logansport, IN | $3,141.60 | not published |
| Parkview Wabash Hospital | Wabash, IN | $3,141.60 | $209.78 – $670.00 |