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 |
|---|---|---|---|
| AdventHealth Avista | Louisville, CO | not published | $130.08 – $318.82 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | not published | $176.71 – $273.35 |
| St Jude Medical Center | Fullerton, CA | not published | $136.05 – $391.69 |
| Providence Saint Joseph Medical Center | Burbank, CA | not published | $160.06 – $391.69 |
| hillcrest hospital | Mayfield Heights, OH | not published | $117.73 – $391.69 |
| lutheran hospital | Cleveland, OH | not published | $117.73 – $391.69 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | not published | $181.01 – $276.46 |
| fairview hospital | Cleveland, OH | not published | $117.73 – $391.69 |
| UnityPoint Health - Meriter Hospital | Madison, WI | not published | $181.01 – $276.46 |
| euclid hospital | Euclid, OH | not published | $117.73 – $391.69 |
| cleveland clinic florida weston hospital | Weston, FL | not published | $129.95 – $154.31 |
| avon hospital | Avon, OH | not published | $117.73 – $391.69 |
| akron general | Akron, OH | not published | $117.73 – $391.69 |
| cleveland clinic main campus | Cleveland, OH | not published | $117.73 – $462.07 |
| Sanford Fargo Medical Center | Fargo, ND | not published | $1.00 – $1.00 |
| Atrium Health Mercy | Charlotte, NC | not published | $180.36 – $180.36 |
| Sanford Worthington Medical Center | Worthington, MN | not published | $1.00 – $1.00 |
| Sanford Bemidji Medical Center | Bemidji, MN | not published | $1.02 – $1.02 |
| Covenant Children's Hospital | Lubbock, TX | not published | $637.63 – $640.83 |
| Redwood Memorial Hospital | Fortuna, CA | not published | $364.36 – $364.36 |
| Newark Beth Israel Medical Center | Newark, NJ | not published | $178.76 – $224.08 |
| Swedish Issaquah | Issaquah, WA | not published | $144.51 – $267.34 |
| Providence St Joseph Hospital Eureka | Eureka, CA | not published | $160.06 – $391.69 |
| Queen of The Valley Medical Center | Napa, CA | not published | $176.69 – $391.69 |
| Clara Maass Medical Center | Belleville, NJ | not published | $178.76 – $224.08 |
| Community Medical Center | Toms River, NJ | not published | $178.76 – $218.62 |
| Wellstar Cobb Hospital | Austell, GA | not published | $126.40 – $233.84 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | not published | $130.56 – $216.04 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | not published | $181.01 – $276.46 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | not published | $160.06 – $391.69 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | not published | $181.01 – $276.46 |
| Southeastern Medical Center | Cambridge, OH | not published | $117.73 – $122.44 |
| Grant Medical Center | Columbus, OH | not published | $119.99 – $493.71 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | not published | $163.04 – $276.46 |
| Berger Hospital | Circleville, OH | not published | $119.99 – $309.71 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | not published | $163.04 – $276.46 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | not published | $181.01 – $276.46 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | not published | $181.01 – $276.46 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | not published | $160.06 – $391.69 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | not published | $181.01 – $276.46 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | not published | $18.96 – $346.14 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines, IA | not published | $181.01 – $276.46 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | not published | $298.67 – $611.81 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | not published | $181.01 – $276.46 |
| Providence Holy Cross Medical Center | Mission Hills, CA | not published | $160.06 – $391.69 |
| SSM Health St. Anthony Hospital - Midwest | Midwest City, OK | not published | $119.69 – $276.99 |
| Palisades Medical Center | North Bergen, NJ | not published | $224.29 – $224.29 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | not published | $163.04 – $276.46 |
| Advocate Condell Medical Center | Libertyville, IL | not published | $360.08 – $479.68 |
| Advocate Christ Medical Center | Oak Lawn, IL | not published | $298.67 – $611.81 |