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Every billing code / Treatments and drugs / Skin and Soft Tissue Substitutes

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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$3,491 – $14,047$8,727 – $35,118
Cascade Valley HospitalArlington$5591 plan$447$559
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$3,491 – $14,047$8,727 – $35,118
Harborview Medical CenterSeattleFile dated 2026-04-01———
Island HospitalAnacortes$1491 plan$563 – $1,850$563 – $1,850
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,034 – $27,355$1,476 – $39,079
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$3,491 – $14,047$8,727 – $35,118
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$3,491 – $14,047$8,727 – $35,118
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$3,491 – $14,047$8,727 – $35,118
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$3,491 – $14,047$8,727 – $35,118
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$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———
PeaceHealth Southwest Medical CenteVancouver$1321 plan$329$506
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,040 – $33,762$1,485 – $48,231
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,600 – $30,729$3,076 – $59,095
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$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—$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—$1,080 – $31,759$1,542 – $45,370
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,600 – $30,729$3,076 – $59,095
Skagit Valley HospitalMount Vernon—$447$559
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$1,058 – $36,418$2,204 – $75,870
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,058 – $36,418$2,204 – $75,870
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,058 – $36,418$2,204 – $75,870
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,058 – $36,418$2,204 – $75,870
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$3,491 – $14,047$8,727 – $35,118
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$209 – $890$209 – $890
Yakima Valley MemorialYakimaFile dated 2026-08-27———

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