HCPCS Q4137

MEMBRANE AMNIOTIC 1.5CM X 1.5C - as described in hospitals' own price files.

5hospitals publishing a price

$1,990median cash price

$998median typical insurance price

Hospital	Location	Cash price	Typical insurance	List price	Negotiated range
Grandview Medical Center	Birmingham, AL	$65.70	$263	$438	$65.70 - $438
Gadsden Regional Medical Center	Gadsden, AL	$312	$1,734	$2,602	$105 - $2,602
Providence Valdez Medical Center	Valdez, AK	$1,990	-	$2,551	-
Providence Kodiak Island Medical Ctr	Kodiak, AK	$2,625	-	$3,365	-
Providence Alaska Medical Center	Anchorage, AK	$4,215	-	$5,404	-

Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.