HCPCS Q4112
Cymetra, injectable, 1 cc
Current codeSkin Substitute Products23 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 | $1,767 – $1,878 | $884 | $2,209 |
| Deaconess Medical Center | $1,568 – $1,613 | $884 | $2,209 |
| Kadlec Regional Medical Center | — | $631 | $902 |
| Mary Bridge Children's Hospital | $1,445 – $1,767 | $884 | $2,209 |
| MultiCare Auburn Medical Center | $1,303 – $1,613 | $884 | $2,209 |
| MultiCare Covington Medical Center | $1,303 – $1,613 | $884 | $2,209 |
| MultiCare Good Samaritan Hospital | $1,303 – $1,613 | $884 | $2,209 |
| MultiCare Valley Hospital | $1,590 | $884 | $2,209 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $777 | $1,110 |
| Providence Centralia Hospital | — | $956 | $1,838 |
| Providence Holy Family Hospital | — | $777 | $1,110 |
| Providence Mount Carmel Hospital | — | $737 | $1,054 |
| Providence Regional Medical Center Everett | — | $1,051 | $2,021 |
| Providence St Joseph Hospital | — | $737 | $1,054 |
| Providence St Mary Medical Center | — | $686 | $980 |
| Providence St Peter Hospital | — | $956 | $1,838 |
| Swedish Edmonds Hospital | — | $643 | $1,340 |
| Swedish Issaquah | — | $643 | $1,340 |
| Swedish Medical Center | — | $643 | $1,340 |
| Swedish Medical Center / Cherry Hill | — | $643 | $1,340 |
| Tacoma General Allenmore Hospital | $1,303 – $1,613 | $884 | $2,209 |
| Virginia Mason Medical Center | $393 – $491 | $313 | $614 |
Medicare (traditional) reference
CMS publishes no national amount for this code.