HCPCS Q4124
Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
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) |
|---|---|---|---|
| Cascade Valley Hospital | $3,438 – $4,679 | $2,750 – $3,743 | $3,438 – $4,679 |
| EvergreenHealth Medical Center | — | $102 | $128 |
| Highline Medical Center | — | $4.38 – $602 | $14.33 – $1,972 |
| Skagit Valley Hospital | — | $2,750 – $3,743 | $3,438 – $4,679 |
| St Anthony Hospital | — | $4.36 – $600 | $14.33 – $1,972 |
| St Clare Hospital | — | $4.14 – $568 | $14.33 – $1,972 |
| St Elizabeth Hospital | — | $5.07 – $697 | $14.33 – $1,972 |
| St Francis Community Hospital | — | $4.50 – $619 | $14.33 – $1,972 |
| St Joseph Medical Center | — | $4.75 – $653 | $14.33 – $1,972 |
| St Michael Medical Center | — | $6.33 – $870 | $14.33 – $1,972 |
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