HCPCS Q4108
Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Current codeSkin Substitute Products32 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $238 – $644 | — | — |
| Cascade Valley Hospital | $80.08 – $7,436 | $6,610 | $8,263 |
| Deaconess Medical Center | $229 – $567 | — | — |
| Harborview Medical Center | $231 – $307 | $9,776 | $13,966 |
| Island Hospital | $193 – $267 | — | — |
| Kadlec Regional Medical Center | $55.68 – $390 | $4,865 – $11,699 | $6,950 – $16,713 |
| Legacy Salmon Creek Medical Center | $60.71 – $277 | — | — |
| Mary Bridge Children's Hospital | $1,000 | — | — |
| MultiCare Auburn Medical Center | $239 – $597 | — | — |
| MultiCare Covington Medical Center | $239 – $597 | — | — |
| MultiCare Good Samaritan Hospital | $240 – $597 | — | — |
| MultiCare Valley Hospital | $229 – $566 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $83.40 – $380 | — | — |
| PeaceHealth St John Medical Center | $50.61 – $728 | $7,173 | $11,035 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $52.25 – $460 | $6,550 – $14,761 | $9,358 – $21,088 |
| Providence Centralia Hospital | $124 – $539 | $10,610 – $17,178 | $20,404 – $33,035 |
| Providence Holy Family Hospital | $52.25 – $508 | $4,913 – $14,761 | $7,018 – $21,088 |
| Providence Mount Carmel Hospital | — | $6,258 – $14,162 | $8,940 – $20,231 |
| Providence Regional Medical Center Everett | $52.25 – $440 | $8,911 – $19,544 | $17,137 – $37,584 |
| Providence St Joseph Hospital | — | $6,258 – $14,162 | $8,940 – $20,231 |
| Providence St Mary Medical Center | $98.66 – $408 | $5,593 – $12,848 | $7,989 – $18,354 |
| Providence St Peter Hospital | $93.34 – $559 | $10,610 – $17,178 | $20,404 – $33,035 |
| Skagit Valley Hospital | $1,192 – $7,849 | $6,610 | $8,263 |
| Swedish Edmonds Hospital | $52.25 – $510 | $6,244 – $15,353 | $13,009 – $31,986 |
| Swedish Issaquah | $52.25 – $613 | $6,244 – $15,353 | $13,009 – $31,986 |
| Swedish Medical Center | $52.25 – $611 | $6,244 – $15,353 | $13,009 – $31,986 |
| Swedish Medical Center / Cherry Hill | $52.25 – $611 | $6,244 – $15,353 | $13,009 – $31,986 |
| Tacoma General Allenmore Hospital | $240 – $597 | — | — |
| University of Washington Medical Ctr | $231 – $452 | $8,689 | $12,413 |
| Wellfound Behavioral Health Hospital | $367 | — | — |
| Yakima Valley Memorial | $233 – $353 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Doctor's fee, Seattle (King County)
- $156 in an office; $156 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $134 in an office; $134 in a hospital or surgery center
- Hospital outpatient payment (national)
- $127 (APC 6000)
- Surgery center payment (national)
- $127