HCPCS Q4118
Matristem micromatrix, 1 mg
Current codeSkin Substitute Products38 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 | — | $296 – $5,674 | $739 – $14,185 |
| Cascade Valley Hospital | $4,050 – $7,411 | $3,240 – $5,928 | $4,050 – $7,411 |
| Deaconess Medical Center | — | $296 – $5,674 | $739 – $14,185 |
| Harborview Medical Center | — | $12.16 – $7,506 | $17.37 – $10,723 |
| Highline Medical Center | — | $113 – $4,623 | $369 – $15,141 |
| Kadlec Regional Medical Center | — | $124 – $3,898 | $177 – $5,569 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $296 – $5,674 | $739 – $14,185 |
| MultiCare Auburn Medical Center | — | $296 – $5,674 | $739 – $14,185 |
| MultiCare Covington Medical Center | — | $296 – $5,674 | $739 – $14,185 |
| MultiCare Good Samaritan Hospital | — | $296 – $5,674 | $739 – $14,185 |
| MultiCare Valley Hospital | — | $296 – $5,674 | $739 – $14,185 |
| Overlake Hospital Medical Center & Clinics | — | $270 – $296 | $539 – $592 |
| PeaceHealth Southwest Medical Cente | — | $2,227 | $3,427 |
| PeaceHealth St Joseph Medical Center | — | $6,306 | $9,701 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $219 – $4,791 | $312 – $6,844 |
| Providence Centralia Hospital | — | $157 – $7,838 | $301 – $15,073 |
| Providence Holy Family Hospital | — | $219 – $4,791 | $312 – $6,844 |
| Providence Mount Carmel Hospital | — | $207 – $4,576 | $296 – $6,537 |
| Providence Regional Medical Center Everett | — | $10.40 – $7,525 | $20.00 – $14,471 |
| Providence St Joseph Hospital | — | $207 – $4,576 | $296 – $6,537 |
| Providence St Mary Medical Center | — | $158 – $4,260 | $226 – $6,085 |
| Providence St Peter Hospital | — | $157 – $7,838 | $301 – $15,073 |
| Skagit Valley Hospital | — | $3,240 – $5,928 | $4,050 – $7,411 |
| St Anthony Hospital | — | $112 – $4,605 | $369 – $15,141 |
| St Clare Hospital | — | $106 – $4,364 | $369 – $15,141 |
| St Elizabeth Hospital | $66.42 – $3,331 | $130 – $5,350 | $369 – $15,141 |
| St Francis Community Hospital | — | $116 – $4,752 | $369 – $15,141 |
| St Joseph Medical Center | — | $122 – $5,015 | $369 – $15,141 |
| St Michael Medical Center | — | $163 – $6,683 | $369 – $15,141 |
| Swedish Edmonds Hospital | — | $103 – $4,706 | $215 – $9,805 |
| Swedish Issaquah | — | $103 – $4,706 | $215 – $9,805 |
| Swedish Medical Center | — | $103 – $4,706 | $215 – $9,805 |
| Swedish Medical Center / Cherry Hill | — | $103 – $4,706 | $215 – $9,805 |
| Tacoma General Allenmore Hospital | — | $296 – $5,674 | $739 – $14,185 |
| Trios Health | — | — | $9,226 |
| University of Washington Medical Ctr | — | $355 – $6,672 | $508 – $9,531 |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.