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 |
|---|---|---|---|
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | not published | $94.01 – $346.14 |
| Franklin Memorial Hospital | Farmington, ME | not published | $129.08 – $360.14 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | not published | $90.66 – $346.14 |
| Wellstar MCG Health | Augusta, GA | not published | $109.05 – $347.24 |
| Wellstar Kennestone Hospital | Marietta, GA | not published | $126.40 – $233.84 |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | not published | $119.69 – $276.99 |
| Wellstar Douglas Hospital | Douglasville, GA | not published | $125.26 – $231.74 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $182.18 – $182.18 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | not published | $115.18 – $191.87 |
| CHRISTUS Shreveport-Bossier Health System-Highland | Shreveport, LA | not published | $115.18 – $191.87 |
| CHRISTUS Ochsner St. Patrick Hospital | Lake Charles, LA | not published | $115.18 – $191.87 |
| CHRISTUS Ochsner Lake Area Hospital | Lake Charles, LA | not published | $115.18 – $191.87 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $200.40 – $464.56 |
| CHRISTUS Coushatta Health Care Center | Coushatta, LA | not published | $115.18 – $191.87 |
| Providence St Peter Hospital | Olympia, WA | not published | $121.65 – $467.29 |
| Providence Holy Family Hospital | Spokane, WA | not published | $138.67 – $336.87 |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | not published | $133.36 – $216.04 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | not published | $149.87 – $337.95 |
| AdventHealth Parker | Parker, CO | not published | $128.65 – $318.82 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | not published | $141.72 – $336.87 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | not published | $176.71 – $273.35 |
| Jacobi Medical Center | Bronx, NY | not published | $126.79 – $310.68 |
| Providence Centralia Hospital | Centralia, WA | not published | $144.11 – $1,168.68 |
| Elmhurst Hospital Center | NY 11373, NY | not published | $126.79 – $316.99 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | not published | $123.96 – $224.36 |
| Robert Wood Johnson University Hospital Somerset | Somerville, NJ | not published | $178.76 – $218.62 |
| Robert Wood Johnson University Hospital Hamilton | Hamilton Township, NJ | not published | $178.76 – $218.62 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | not published | $117.73 – $211.92 |
| Southern Ocean Medical Center | Manahawkin, NJ | not published | $154.85 – $219.65 |
| Grady Memorial Hospital | Delaware, OH | not published | $119.99 – $124.79 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | not published | $200.40 – $495.99 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | not published | $178.76 – $227.73 |
| Riverside Methodist Hospital | Columbus, OH | not published | $119.99 – $493.71 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | not published | $92.32 – $495.99 |
| Riverview Medical Center | Red Bank, NJ | not published | $154.85 – $219.65 |
| Jersey Shore University Medical Center | Neptune City, NJ | not published | $154.85 – $219.65 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | not published | $154.85 – $224.29 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | not published | $117.73 – $211.92 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | not published | $127.14 – $228.85 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | not published | $117.73 – $211.92 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | not published | $117.73 – $211.92 |
| Raritan Bay Medical Center | Perth Amboy, NJ | not published | $154.85 – $224.29 |
| University Hospitals Samaritan Medical Center | Ashland, OH | not published | $443.43 – $443.43 |
| University Hospitals St. John Medical Center | Westlake OH, OH | not published | $306.06 – $1,487.50 |
| University Hospitals Geneva Medical Center | Geneva, OH | not published | $588.26 – $1,487.50 |
| University Hospitals Elyria Medical Center | Elyria, OH | not published | $117.73 – $211.92 |
| Corewell Health Pennock | Hastings, MI | not published | $189.06 – $189.06 |
| Ocean University Medical Center | Brick, NJ | not published | $154.85 – $219.65 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | not published | $160.06 – $391.69 |
| Hackensack University Medical Center | Hackensack, NJ | not published | $224.29 – $224.29 |