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 |
|---|---|---|---|
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $209.78 – $1,102.37 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $209.78 – $1,102.37 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | not published | $209.78 – $1,102.37 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | not published | $209.78 – $1,102.37 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $209.78 – $1,102.37 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $209.78 – $1,102.37 |
| Kettering Health Troy | Troy, OH | not published | $121.96 – $508.28 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | not published | $123.38 – $508.28 |
| Kettering Health Greene Memorial | Xenia, OH | not published | $121.96 – $508.28 |
| Soin Medical Center | Beaver Creek, OH | not published | $122.62 – $508.28 |
| Kettering Health Dayton (Grandview) | Dayton, OH | not published | $122.62 – $508.28 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | not published | $123.38 – $508.28 |
| Kettering Health Main Campus (Kettering) | Kettering, OH | not published | $122.62 – $508.28 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $120.93 – $270.06 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $120.29 – $270.06 |
| MUSC Health Florence Medical Center | Florence, SC | not published | $115.74 – $270.06 |
| MUSC Health Chester Medical Center | Chester, SC | not published | $120.29 – $270.06 |
| MUSC Health Main Campus - Charleston | Charleston, SC | not published | $115.74 – $368.62 |
| MUSC Health Black River Medical Center | Cades, SC | not published | $115.74 – $270.06 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | not published | $148.46 – $248.89 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $108.80 – $126.93 |
| Gouverneur Hospital | Gouverneur, NY | not published | $447.50 – $447.50 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | not published | $103.97 – $447.50 |
| Newark Wayne Community Hospital | Newark, NY | not published | $120.89 – $514.62 |
| The Unity Hospital of Rochester | Rochester, NY | not published | $182.18 – $447.50 |
| Rochester General Hospital | Rochester, NY | not published | $182.18 – $514.62 |
| MultiCare Allenmore Hospital | Tacoma, WA | not published | $142.33 – $597.36 |
| MultiCare Valley Hospital | Spokane Valley, WA | not published | $139.98 – $565.77 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | not published | $146.60 – $999.96 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | not published | $142.33 – $597.36 |
| MultiCare Covington Medical Center | Covington, WA | not published | $141.62 – $597.36 |
| MultiCare Capital Medical Center | Olympia, WA | not published | $141.22 – $643.84 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $209.78 – $1,102.37 |
| MultiCare Auburn Medical Center | Auburn, WA | not published | $141.62 – $597.36 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $125.01 – $243.77 |
| Houston Methodist Continuing Care Hospital | Katy, TX | not published | $1,077.59 – $1,077.59 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $125.01 – $250.02 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $125.01 – $243.77 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $125.01 – $243.77 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $125.01 – $243.77 |
| Houston Methodist West Hospital | Houston, TX | not published | $125.01 – $500.05 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $125.01 – $243.77 |
| Houston Methodist Hospital | Houston, TX | not published | $125.01 – $500.05 |
| OSF Saint Anthony's Health Center | Alton, IL | not published | $133.36 – $136.02 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $112.91 – $118.56 |
| Parkwest Medical Center | Knoxville, TN | not published | $112.91 – $118.56 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $112.91 – $118.56 |
| LeConte Medical Center | Sevierville, TN | not published | $120.92 – $126.97 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $209.78 – $1,102.37 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $112.91 – $118.56 |