Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm cost at US hospitals

MEMBRANE PLACENTA TISS ENVERSE SHEET 2X3CM-COST PER SQ CM · HCPCS Q4258

$97.35

lowest cash price

$331.77

national median

$1,901.38

highest cash price

70

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $97.35–$1,901.38 — the variation is the story.

Most expensive published cash price

$1,901.38

Mercy Medical Center Merced — Merced, CA

Median cash price over time

Jan 1, 2026 ($212.76) → Sep 1, 2026 ($127.14)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 not published by hospital not published by hospital not published by hospital
California 18 $1,356.81 $1,546.87 $1,901.38
Colorado 12 not published by hospital not published by hospital not published by hospital
Florida 8 not published by hospital not published by hospital not published by hospital
Georgia 1 not published by hospital not published by hospital not published by hospital
Illinois 14 not published by hospital not published by hospital not published by hospital
Indiana 8 not published by hospital not published by hospital not published by hospital
Iowa 24 $212.76 $266.36 $409.78
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 6 $171.12 $171.12 $171.12
Minnesota 2 not published by hospital not published by hospital not published by hospital
Missouri 14 not published by hospital not published by hospital not published by hospital
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 3 $132.48 $132.48 $132.48
North Dakota 1 not published by hospital not published by hospital not published by hospital
Ohio 45 not published by hospital not published by hospital not published by hospital
Oklahoma 3 not published by hospital not published by hospital not published by hospital
Oregon 5 not published by hospital not published by hospital not published by hospital
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 17 $97.35 $97.35 $97.35
Texas 80 $103.12 $511.67 $511.67
Virginia 16 $132.48 $132.48 $132.48
Washington 27 $396.94 $432.17 $607.79
Wisconsin 21 not published by hospital not published by hospital not published by hospital

All hospitals

Hospital Location Cash price Negotiated range
Fort Sanders Regional Medical Center Knoxville, TN $97.35 $61.95 – $265.50
Methodist Charlton Medical Center Dallas, TX $103.12 $54.56 – $330.14
Methodist Dallas Medical Center Dallas, TX $103.12 $54.56 – $337.53
Methodist Mansfield Medical Center Mansfield, TX $103.12 $54.56 – $338.09
Methodist Midlothian Medical Center Midlothian, TX $103.12 $125.01 – $337.53
Methodist Richardson Medical Center Richardson, TX $103.12 $54.56 – $337.53
Methodist Celina Medical Center Celina, TX $103.12 $52.71 – $312.53
Methodist Southlake Medical Center Souhtlake, TX $103.12 $54.56 – $338.09
Bellevue Hospital Center NY 10016, NY $127.14 $71.82 – $310.68
Kings County Hospital Center Brooklyn, NY $127.14 $71.82 – $310.68
Woodhull Medical Center Brooklyn, NY $127.14 $71.82 – $310.68
Queens Hospital Center Jamaica, NY $127.14 $71.82 – $310.68
Sentara Albemarle Regional Medical Center Elizabeth City, NC $132.48 not published
Sentara Martha Jefferson Hospital Charlottesville, VA $132.48 not published
Sentara Halifax Regional Hospital South Boston, VA $132.48 not published
Sentara Leigh Hospital Norfolk, VA $132.48 not published
Sentara Obici Hospital Suffolk, VA $132.48 not published
Sentara CarePlex Hospital Hampton, VA $132.48 not published
Sentara Northern Virginia Medical Center Woodbridge, VA $132.48 $104.60 – $127.49
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr., MI $171.12 $66.49 – $241.80
Henry Ford West Bloomfield Hospital West Bloomfield, MI $171.12 $66.49 – $228.16
Henry Ford Wyandotte Hospital: Wyandotte, MI $171.12 $66.49 – $228.16
Henry Ford Macomb Hospital Clinton Twp, MI $171.12 $66.49 – $228.16
UnityPoint Health - Finley Hospital Dubuque, IA $212.76 $19.33 – $76.47
MercyOne Waterloo Medical Center Waterloo, IA $266.36 $81.96 – $409.78
MercyOne Dubuque Medical Center Dubuque, IA $266.36 $79.42 – $409.78
MercyOne Dyersville Medical Center Dyersville, IA $266.36 $154.90 – $461.25
MercyOne Clinton Medical Center Clinton, IA $266.36 $79.42 – $409.78
MercyOne Oelwein Medical Center Oelwein, IA $266.36 $156.62 – $409.78
MercyOne Cedar Falls Medical Center Cedar Falls, IA $266.36 $71.06 – $409.78
MercyOne Elkader Medical Center Elkader, IA $266.36 $210.91 – $428.30
MercyOne Des Moines Medical Center Des Moines, IA $266.36 $66.88 – $409.78
MercyOne Newton Medical Center Newton, IA $266.36 $81.96 – $409.78
MercyOne North Iowa Medical Center Mason City, IA $266.36 $81.96 – $409.78
MercyOne New Hampton Medical Center New Hampton, IA $331.77 $202.07 – $510.41
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110, TX $370.35 $74.07 – $462.94
BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE Suite 100, TX $370.35 $67.90 – $555.52
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park, TX $370.35 $118.76 – $555.52
BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR Taylor, TX $370.35 $117.28 – $493.80
St. Clare Hospital Lakewood, WA $396.94 $298.12 – $310.54
MercyOne West Des Moines Medical Center West Des Moines, IA $409.78 $66.88 – $409.78
MercyOne Centerville Medical Center Centerville, IA $409.78 $112.44 – $409.78
St. Anthony Hospital Gig Harbor, WA $418.85 $298.12 – $310.54
St. Anne Hospital Burien, WA $420.51 $178.05 – $372.65
St. Francis Hospital Federal Way, WA $432.17 $298.12 – $310.54
St. Joseph Medical Center Tacoma, WA $456.10 $298.12 – $310.54
St. Elizabeth Hospital Enumclaw, WA $486.62 $70.39 – $372.65
BAYLOR UNIVERSITY MEDICAL CENTER Dallas, TX $511.67 $54.53 – $268.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham, TX $511.67 $39.61 – $288.68
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco, TX $511.67 $51.32 – $268.77

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