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
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Cascade Valley Hospital | $8,424 | $6,610 | $8,263 |
| Deaconess Medical Center | — | — | — |
| Harborview Medical Center | — | $9,776 | $13,966 |
| Island Hospital | $149 | — | — |
| Kadlec Regional Medical Center | — | $4,865 – $11,699 | $6,950 – $16,713 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth St John Medical Center | $98.69 – $133 | $7,173 | $11,035 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $6,550 – $14,761 | $9,358 – $21,088 |
| Providence Centralia Hospital | — | $10,610 – $17,178 | $20,404 – $33,035 |
| Providence Holy Family Hospital | — | $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 | — | $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 | — | $5,593 – $12,848 | $7,989 – $18,354 |
| Providence St Peter Hospital | — | $10,610 – $17,178 | $20,404 – $33,035 |
| Skagit Valley Hospital | — | $6,610 | $8,263 |
| Swedish Edmonds Hospital | — | $6,244 – $15,353 | $13,009 – $31,986 |
| Swedish Issaquah | — | $6,244 – $15,353 | $13,009 – $31,986 |
| Swedish Medical Center | — | $6,244 – $15,353 | $13,009 – $31,986 |
| Swedish Medical Center / Cherry Hill | — | $6,244 – $15,353 | $13,009 – $31,986 |
| Tacoma General Allenmore Hospital | — | — | — |
| University of Washington Medical Ctr | — | $8,689 | $12,413 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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