HCPCS Q4110

Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)

Current codeSkin Substitute Products33 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.

Prices for HCPCS Q4110 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$238 – $29,8506 plans$3,491 – $14,047$8,727 – $35,118
Cascade Valley HospitalArlington$47.52 – $5037 plans$447$559
Deaconess Medical CenterSpokaneFile dated 2026-08-27$229 – $25,63610 plans$3,491 – $14,047$8,727 – $35,118
Harborview Medical CenterSeattleFile dated 2026-04-01$231 – $3073 plans——
Island HospitalAnacortes$193 – $1,75817 plans$563 – $1,850$563 – $1,850
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$81.23 – $3908 plans$1,034 – $27,355$1,476 – $39,079
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$103 – $2774 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,000 – $28,5868 plans$3,491 – $14,047$8,727 – $35,118
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$239 – $25,6367 plans$3,491 – $14,047$8,727 – $35,118
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$239 – $25,6367 plans$3,491 – $14,047$8,727 – $35,118
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$240 – $25,6367 plans$3,491 – $14,047$8,727 – $35,118
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$229 – $25,28510 plans$3,491 – $14,047$8,727 – $35,118
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$122 – $3806 plans——
PeaceHealth Southwest Medical CenteVancouver$50.61 – $4104 plans$329$506
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$47.16 – $46010 plans$1,040 – $33,762$1,485 – $48,231
Providence Centralia HospitalCentraliaFile dated 2026-04-01$181 – $5398 plans$1,600 – $30,729$3,076 – $59,095
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$47.16 – $50810 plans$1,040 – $33,762$1,485 – $48,231
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$990 – $32,426$1,415 – $46,323
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$47.16 – $44011 plans$1,745 – $42,922$3,356 – $82,542
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$990 – $32,426$1,415 – $46,323
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$144 – $4086 plans$1,080 – $31,759$1,542 – $45,370
Providence St Peter HospitalOlympiaFile dated 2026-04-01$121 – $55910 plans$1,600 – $30,729$3,076 – $59,095
Skagit Valley HospitalMount Vernon$80.66 – $5317 plans$447$559
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$47.16 – $51010 plans$1,058 – $36,418$2,204 – $75,870
Swedish IssaquahIssaquahFile dated 2026-04-01$47.16 – $61310 plans$1,058 – $36,418$2,204 – $75,870
Swedish Medical CenterSeattleFile dated 2026-04-01$47.16 – $61111 plans$1,058 – $36,418$2,204 – $75,870
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$47.16 – $61111 plans$1,058 – $36,418$2,204 – $75,870
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$240 – $25,6367 plans$3,491 – $14,047$8,727 – $35,118
University of Washington Medical CtrSeattleFile dated 2026-04-01$231 – $4526 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$3671 plan——
WhidbeyHealth Medical CenterCoupeville—$209 – $890$209 – $890
Yakima Valley MemorialYakimaFile dated 2026-08-27$233 – $3533 plans——

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

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 6001)
Surgery center payment (national)
$127