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 |
|---|---|---|---|
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $112.91 – $118.56 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $182.18 – $182.18 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $120.92 – $126.97 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $182.18 – $205.25 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $165.17 – $448.58 |
| CHRISTUS Spohn Hospital Corpus Christi - Shoreline | Corpus Christi, TX | not published | $104.78 – $568.89 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $182.18 – $205.25 |
| Claiborne Medical Center | Tazewell, TN | not published | $120.92 – $126.97 |
| Roane County Medical Center | Harriman, TN | not published | $112.91 – $118.56 |
| CHRISTUS Spohn Hospital - Kleberg | Kingsville, TX | not published | $182.18 – $568.89 |
| CHRISTUS Spohn Hospital - Beeville | Beeville, TX | not published | $104.78 – $568.89 |
| CHRISTUS Spohn Hospital - Alice | Alice, TX | not published | $104.78 – $568.89 |
| CHRISTUS Southeast Texas Jasper Memorial | Jasper, TX | not published | $182.18 – $182.18 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $182.18 – $182.18 |
| CHRISTUS Trinity Mother Frances Hospital - Winnsboro | Winnsboro, TX | not published | $182.18 – $182.18 |
| CHRISTUS Trinity Mother Frances Hospital - South Tyler | Tyler, TX | not published | $182.18 – $182.18 |
| CHRISTUS Trinity Mother Frances Hospital - Jacksonville | Jacksonville, TX | not published | $182.18 – $182.18 |
| CHRISTUS Trinity Mother Frances Louis & Peaches Owens Heart Hospital | Tyler, TX | not published | $182.18 – $182.18 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $165.17 – $448.58 |
| AdventHealth Castle Rock | Castle Rock, CO | not published | $128.65 – $318.82 |
| Kadlec Regional Medical Center | Richland, WA | not published | $138.67 – $256.55 |
| Providence St Mary Medical Center | Walla Walla, WA | not published | $138.67 – $1,119.36 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $141.72 – $262.18 |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $160.06 – $391.69 |
| SSM Health Ripon Community Hospital | Ripon, WI | not published | $200.40 – $495.99 |
| Marion General Hospital | Marion, OH | not published | $118.83 – $123.58 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $120.88 – $495.99 |
| Monmouth Medical Center Southern Campus | Lakewood, NJ | not published | $178.76 – $224.08 |
| Providence St Joseph Hospital Orange | Orange, CA | not published | $136.05 – $391.69 |
| Doctors Hospital | Columbus, OH | not published | $122.62 – $493.71 |
| Hardin Memorial Hospital | Kenton, OH | not published | $309.71 – $309.71 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $119.69 – $291.49 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | not published | $180.36 – $180.36 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | not published | $117.73 – $211.92 |
| south pointe hospital | Warrensville Heights, OH | not published | $117.73 – $391.69 |
| mercy hospital | Canton, OH | not published | $117.73 – $391.69 |
| medina hospital | Medina, OH | not published | $117.73 – $391.69 |
| indian river hospital | Vero Beach, FL | not published | $129.95 – $142.95 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | not published | $128.41 – $562.39 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo, CA | not published | $136.05 – $391.69 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | not published | $173.16 – $391.69 |
| Monmouth Medical Center | Long Branch, NJ | not published | $178.76 – $224.08 |
| Providence St Joseph Medical Center | Polson, MT | not published | $409.91 – $562.39 |
| Jersey City Medical Center | Jersey City, NJ | not published | $178.76 – $218.62 |
| marymount hospital | Garfield Heights, OH | not published | $117.73 – $391.69 |
| martin north hospital | Stuart, FL | not published | $129.95 – $142.95 |
| lodi hospital | Lodi, OH | not published | $127.14 – $127.14 |
| AdventHealth Porter | Denver, CO | not published | $128.65 – $318.82 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | not published | $133.36 – $216.04 |
| Adventhealth Redmond | Rome, GA | not published | $126.55 – $359.56 |