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
Providence Newberg Medical Center Newberg, OR not published $90.65 – $253.13
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac, WI not published $79.00 – $237.56
Riverview Medical Center Red Bank, NJ not published $70.05 – $95.93
Jersey Shore University Medical Center Neptune City, NJ not published $70.05 – $95.93
JFK Johnson Rehabilitation Institute (JRI) Edison, NJ not published $70.05 – $97.95
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 $70.05 – $97.95
University Hospitals Samaritan Medical Center Ashland, OH not published $200.59 – $200.59
University Hospitals St. John Medical Center Westlake OH, OH not published $138.45 – $4,962.30
University Hospitals Geneva Medical Center Geneva, OH not published $266.10 – $4,962.30
University Hospitals Elyria Medical Center Elyria, OH not published $117.73 – $211.92
Ocean University Medical Center Brick, NJ not published $70.05 – $95.93
Providence Cedars-Sinai Tarzana Medical Center Tarzana, CA not published $142.92 – $296.10
Hackensack University Medical Center Hackensack, NJ not published $82.41 – $97.95
Bayshore Medical Center Holmdel, NJ not published $70.05 – $70.05
Advocate Trinity Hospital Chicago, IL not published $126.18 – $258.47
Mid Coast Hospital Brunswick, ME not published $67.56 – $145.13
Harlem Hospital Center New York, NY not published $74.10 – $310.68
Waldo County General Hospital Belfast, ME not published $67.56 – $145.13
Spring Harbor Hospital Westbrook, ME not published $73.65 – $137.02
Pen Bay Medical Center Rockport, ME not published $67.56 – $145.13
Metropolitan Hospital Center New York, NY not published $74.10 – $310.68
Lincoln Medical Center Bronx, NY not published $74.10 – $310.68
University Hospitals Conneaut Medical Center Conneaut, OH not published $287.69 – $1,417.80
Advocate South Suburban Hospital Hazel Crest, IL not published $126.18 – $258.47
Advocate Sherman Hospital Elgin, IL not published $135.34 – $179.70
Advocate Childrens Hospital - Park Ridge Park Ridge, IL not published $126.18 – $258.47
Advocate Illinois Masonic Medical Center Chicago, IL not published $126.18 – $258.47
University Hospitals Beachwood Medical Center Beachwood, OH not published $117.73 – $298.19
Cooperman Barnabas Medical Center Livingston, NJ not published $73.42 – $90.31
SSM Health St. Joseph Hospital- Wentzville Wentzville, MO not published $61.75 – $128.89
Sanford USD Medical Center Sioux Falls, SD not published $1.00 – $1.00
Swedish Medical Center Cherry Hill Seattle, WA not published $81.17 – $266.60
Petaluma Valley Hospital Petaluma, CA not published $154.41 – $171.13
SSM Health Saint Louis University Hospital Saint Louis, MO not published $70.90 – $166.48
SSM Health DePaul Hospital - St. Louis Bridgeton, MO not published $61.75 – $149.57
Providence Alaska Medical Center Anchorage, AK not published $540.78 – $540.78
Van Wert Hospital Van Wert, OH not published $127.79 – $130.34
O'Bleness Hospital Athens, OH not published $118.83 – $120.01
Mansfield Hospital Mansfield, OH not published $118.83 – $123.58

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