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HCPCS Q4118

Matristem micromatrix, 1 mg

Current codeSkin Substitute Products38 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—$296 – $5,674$739 – $14,185
Cascade Valley HospitalArlington$4,050 – $7,4481 plan$3,240 – $5,928$4,050 – $7,411
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$296 – $5,674$739 – $14,185
Harborview Medical CenterSeattleFile dated 2026-04-01—$12.16 – $7,506$17.37 – $10,723
Highline Medical CenterBurienFile dated 2026-02-28—$113 – $4,623$369 – $15,141
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$124 – $3,898$177 – $5,569
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$296 – $5,674$739 – $14,185
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$296 – $5,674$739 – $14,185
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$296 – $5,674$739 – $14,185
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$296 – $5,674$739 – $14,185
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$296 – $5,674$739 – $14,185
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$270 – $296$539 – $592
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$219 – $4,791$312 – $6,844
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$157 – $7,838$301 – $15,073
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$219 – $4,791$312 – $6,844
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$207 – $4,576$296 – $6,537
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$10.40 – $7,525$20.00 – $14,471
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$207 – $4,576$296 – $6,537
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$158 – $4,260$226 – $6,085
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$157 – $7,838$301 – $15,073
Skagit Valley HospitalMount Vernon—$3,240 – $5,928$4,050 – $7,411
St Anthony HospitalGig HarborFile dated 2026-02-28—$112 – $4,605$369 – $15,141
St Clare HospitalLakewoodFile dated 2026-02-28—$106 – $4,364$369 – $15,141
St Elizabeth HospitalEnumclawFile dated 2026-02-28$103 – $5,0225 plans$130 – $5,350$369 – $15,141
St Francis Community HospitalFederal WayFile dated 2026-02-28—$116 – $4,752$369 – $15,141
St Joseph Medical CenterTacomaFile dated 2026-02-28—$122 – $5,015$369 – $15,141
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$163 – $6,683$369 – $15,141
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$103 – $4,706$215 – $9,805
Swedish IssaquahIssaquahFile dated 2026-04-01—$103 – $4,706$215 – $9,805
Swedish Medical CenterSeattleFile dated 2026-04-01—$103 – $4,706$215 – $9,805
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$103 – $4,706$215 – $9,805
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$296 – $5,674$739 – $14,185
Trios HealthKennewick——$9,226
University of Washington Medical CtrSeattleFile dated 2026-04-01—$355 – $6,672$508 – $9,531

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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

CMS publishes no national amount for this code.