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 |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle, WA | not published | $144.11 – $266.60 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | not published | $138.67 – $256.55 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | not published | $130.56 – $216.04 |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $209.78 – $1,102.37 |
| Trinitas Regional Medical Center | Elizabeth, NJ | not published | $178.76 – $1,111.30 |
| Lincoln Health | Damariscotta, ME | not published | $129.08 – $360.14 |
| Wellstar Windy Hill Hospital | Marietta, GA | not published | $347.24 – $347.24 |
| Stephens Memorial Hospital | Norway, ME | not published | $129.08 – $360.14 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $182.18 – $1,102.37 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | not published | $123.85 – $247.62 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $176.71 – $1,102.37 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $182.18 – $182.18 |
| AdventHealth Littleton | Littleton, CO | not published | $128.65 – $318.82 |
| North Central Bronx | Bronx, NY | not published | $126.79 – $310.68 |
| Wellstar West Georgia Medical Center | Lagrange, GA | not published | $122.46 – $240.01 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | not published | $347.24 – $347.24 |
| Wellstar Spalding Regional Hospital | Griffin, GA | not published | $124.82 – $244.65 |
| Wellstar Paulding Hospital | Hiram, GA | not published | $126.40 – $233.84 |
| Wellstar North Fulton Hospital | Roswell, GA | not published | $126.40 – $233.84 |
| Corewell Health Troy | Troy, MI | not published | $115.32 – $256.31 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | not published | $115.37 – $257.55 |
| Corewell Health Zeeland | Zeeland, MI | not published | $124.00 – $223.19 |
| Corewell Health Greenville | Greenville, MI | not published | $124.00 – $223.19 |
| Corewell Health Reed City | Po Box 75, MI | not published | $189.06 – $189.06 |
| Corewell Health Blodgett Hospital | East Grand Rapids, MI | not published | $124.00 – $223.19 |
| Aurora West Allis Medical Center | West Allis, WI | not published | $180.04 – $444.52 |
| Aurora Medical Center Washington County | Hartford, WI | not published | $180.04 – $444.52 |
| Aurora Medical Center Summit | Summit, WI | not published | $180.04 – $444.52 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | not published | $180.04 – $444.52 |
| Aurora Psychiatric Hospital | Wauwatosa, WI | not published | $180.04 – $444.52 |
| Aurora Medical Center Sheboygan County | Sheboygan, WI | not published | $180.04 – $444.52 |
| Aurora Medical Center Fond du Lac | Fond Du Lac, WI | not published | $180.04 – $444.52 |
| Aurora Medical Center Kenosha | Kenosha, WI | not published | $180.04 – $444.52 |
| Aurora Medical Center Manitowoc | Two Rivers, WI | not published | $180.04 – $444.52 |
| Aurora Medical Center Grafton | Grafton, WI | not published | $180.04 – $444.52 |
| Aurora Medical Center Burlington | Burlington, WI | not published | $180.04 – $444.52 |
| Aurora Medical Center Bay Area | Marinette, WI | not published | $180.04 – $444.52 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | not published | $181.01 – $276.46 |
| St Elias Specialty Hospital | Anchorage, AK | not published | $121.26 – $637.63 |
| Covenant Medical Center | Lubbock, TX | not published | $125.01 – $637.63 |
| Aurora Baycare Medical Center | Green Bay, WI | not published | $180.04 – $444.52 |
| South Brooklyn Health | Brooklyn, NY | not published | $126.79 – $316.99 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $176.71 – $273.35 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | not published | $178.76 – $191.29 |
| Shelby Hospital | Shelby, OH | not published | $309.71 – $309.71 |
| Corewell Health Butterworth Hospital | Grand Rapids, MI | not published | $124.00 – $223.19 |
| MaineHealth - Memorial Hospital | North Conway, NH | not published | $129.08 – $329.36 |
| Dublin Methodist Hospital | Dublin, OH | not published | $119.99 – $493.71 |
| Corewell Health Gerber | Fremont, MI | not published | $189.06 – $189.06 |
| Corewell Health Big Rapids | Big Rapids, MI | not published | $124.00 – $223.19 |