HCPCS Q4113
Graftjacket xpress, injectable, 1 cc
Current codeSkin Substitute Products13 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) |
|---|---|---|---|
| Kadlec Regional Medical Center | $5,993 – $7,591 | — | — |
| Legacy Salmon Creek Medical Center | $4,494 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,419 – $1,511 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,210 – $1,526 | — | — |
| Providence Centralia Hospital | $1,922 – $7,591 | — | — |
| Providence Holy Family Hospital | $1,210 – $1,526 | — | — |
| Providence Regional Medical Center Everett | $1,210 – $1,526 | — | — |
| Providence St Mary Medical Center | $1,526 | — | — |
| Providence St Peter Hospital | $1,587 | — | — |
| Swedish Edmonds Hospital | $1,210 | — | — |
| Swedish Issaquah | $1,210 | — | — |
| Swedish Medical Center | $1,210 | — | — |
| Swedish Medical Center / Cherry Hill | $1,210 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.