HCPCS Q4110
Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)
Current codeSkin Substitute Products33 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $141 – $155 | $3,491 – $14,047 | $8,727 – $35,118 |
| Cascade Valley Hospital | $559 | $447 | $559 |
| Deaconess Medical Center | $136 – $149 | $3,491 – $14,047 | $8,727 – $35,118 |
| Harborview Medical Center | $144 – $159 | — | — |
| Island Hospital | $149 – $157 | $563 – $1,850 | $563 – $1,850 |
| Kadlec Regional Medical Center | $139 – $166 | $1,034 – $27,355 | $1,476 – $39,079 |
| Legacy Salmon Creek Medical Center | $143 – $155 | — | — |
| Mary Bridge Children's Hospital | $142 – $157 | $3,491 – $14,047 | $8,727 – $35,118 |
| MultiCare Auburn Medical Center | $142 – $156 | $3,491 – $14,047 | $8,727 – $35,118 |
| MultiCare Covington Medical Center | $142 – $156 | $3,491 – $14,047 | $8,727 – $35,118 |
| MultiCare Good Samaritan Hospital | $142 – $157 | $3,491 – $14,047 | $8,727 – $35,118 |
| MultiCare Valley Hospital | $140 – $149 | $3,491 – $14,047 | $8,727 – $35,118 |
| Olympic Medical Center | $156 – $201 | — | — |
| Overlake Hospital Medical Center & Clinics | $145 – $150 | — | — |
| PeaceHealth Southwest Medical Cente | $127 – $146 | $329 | $506 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $139 – $166 | $1,040 – $33,762 | $1,485 – $48,231 |
| Providence Centralia Hospital | $144 – $231 | $1,600 – $30,729 | $3,076 – $59,095 |
| Providence Holy Family Hospital | $139 – $153 | $1,040 – $33,762 | $1,485 – $48,231 |
| Providence Mount Carmel Hospital | — | $990 – $32,426 | $1,415 – $46,323 |
| Providence Regional Medical Center Everett | $142 – $156 | $1,745 – $42,922 | $3,356 – $82,542 |
| Providence St Joseph Hospital | — | $990 – $32,426 | $1,415 – $46,323 |
| Providence St Mary Medical Center | $139 – $153 | $1,080 – $31,759 | $1,542 – $45,370 |
| Providence St Peter Hospital | $143 – $229 | $1,600 – $30,729 | $3,076 – $59,095 |
| Skagit Valley Hospital | — | $447 | $559 |
| Swedish Edmonds Hospital | $142 – $170 | $1,058 – $36,418 | $2,204 – $75,870 |
| Swedish Issaquah | $145 – $173 | $1,058 – $36,418 | $2,204 – $75,870 |
| Swedish Medical Center | $144 – $173 | $1,058 – $36,418 | $2,204 – $75,870 |
| Swedish Medical Center / Cherry Hill | $144 – $173 | $1,058 – $36,418 | $2,204 – $75,870 |
| Tacoma General Allenmore Hospital | $142 – $157 | $3,491 – $14,047 | $8,727 – $35,118 |
| University of Washington Medical Ctr | $144 – $159 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $209 – $890 | $209 – $890 |
| Yakima Valley Memorial | $146 – $163 | — | — |
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