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HCPCS A4100

Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure)

Current codeSkin Substitute Products15 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01—$5,840$8,343
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$2,748 – $22,960$3,926 – $32,800
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$2,974 – $28,337$4,249 – $40,482
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$4,881 – $25,792$9,386 – $49,600
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$2,974 – $28,337$4,249 – $40,482
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$2,839 – $27,216$4,056 – $38,880
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$4,989 – $36,026$9,594 – $69,280
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$2,839 – $27,216$4,056 – $38,880
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$2,821 – $26,656$4,030 – $38,080
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$4,881 – $25,792$9,386 – $49,600
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$3,026 – $30,566$6,305 – $63,680
Swedish IssaquahIssaquahFile dated 2026-04-01—$3,026 – $30,566$6,305 – $63,680
Swedish Medical CenterSeattleFile dated 2026-04-01—$3,026 – $30,566$6,305 – $63,680
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$3,026 – $30,566$6,305 – $63,680
University of Washington Medical CtrSeattleFile dated 2026-04-01—$33.37 – $21,404$47.67 – $30,577

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.