HCPCS Q4125
Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure)
Current codeSkin Substitute Products39 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $3,068 – $9,066 | $7,671 – $22,664 |
| Cascade Valley Hospital | $3,734 – $9,762 | $2,964 – $7,520 | $3,705 – $9,400 |
| Deaconess Medical Center | — | $3,068 – $9,066 | $7,671 – $22,664 |
| Harborview Medical Center | — | $3,594 – $10,030 | $5,134 – $14,328 |
| Highline Medical Center | — | $4,829 – $5,364 | $15,813 – $17,565 |
| Island Hospital | $149 | — | — |
| Kadlec Regional Medical Center | — | $1,413 – $8,444 | $2,019 – $12,063 |
| Mary Bridge Children's Hospital | — | $3,068 – $9,066 | $7,671 – $22,664 |
| MultiCare Auburn Medical Center | — | $3,068 – $9,066 | $7,671 – $22,664 |
| MultiCare Covington Medical Center | — | $3,068 – $9,066 | $7,671 – $22,664 |
| MultiCare Good Samaritan Hospital | — | $3,068 – $9,066 | $7,671 – $22,664 |
| MultiCare Valley Hospital | — | $3,068 – $9,066 | $7,671 – $22,664 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | $19.62 – $6,659 | $39.23 – $13,319 |
| PeaceHealth St Joseph Medical Center | $133 | $6,127 | $9,427 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,405 – $11,024 | $2,008 – $15,749 |
| Providence Centralia Hospital | — | $2,247 – $16,131 | $4,321 – $31,021 |
| Providence Holy Family Hospital | — | $1,405 – $11,024 | $2,008 – $15,749 |
| Providence Mount Carmel Hospital | — | $1,340 – $10,565 | $1,914 – $15,093 |
| Providence Regional Medical Center Everett | — | $2,413 – $14,715 | $4,640 – $28,299 |
| Providence St Joseph Hospital | — | $1,340 – $10,565 | $1,914 – $15,093 |
| Providence St Mary Medical Center | — | $1,421 – $9,925 | $2,030 – $14,178 |
| Providence St Peter Hospital | — | $2,247 – $16,131 | $4,321 – $31,021 |
| Skagit Valley Hospital | — | $2,964 – $7,520 | $3,705 – $9,400 |
| St Anthony Hospital | — | $4,810 – $5,342 | $15,813 – $17,565 |
| St Clare Hospital | — | $4,558 – $5,063 | $15,813 – $17,565 |
| St Elizabeth Hospital | $2,688 – $3,636 | $5,588 – $6,207 | $15,813 – $17,565 |
| St Francis Community Hospital | — | $4,963 – $5,512 | $15,813 – $17,565 |
| St Joseph Medical Center | — | $5,237 – $5,818 | $15,813 – $17,565 |
| St Michael Medical Center | — | $6,979 – $7,752 | $15,813 – $17,565 |
| Swedish Edmonds Hospital | — | $1,465 – $11,086 | $3,051 – $23,096 |
| Swedish Issaquah | — | $1,465 – $11,086 | $3,051 – $23,096 |
| Swedish Medical Center | — | $1,465 – $11,086 | $3,051 – $23,096 |
| Swedish Medical Center / Cherry Hill | — | $1,465 – $11,086 | $3,051 – $23,096 |
| Tacoma General Allenmore Hospital | — | $3,068 – $9,066 | $7,671 – $22,664 |
| University of Washington Medical Ctr | — | $2.84 – $8,915 | $4.05 – $12,736 |
| Virginia Mason Medical Center | — | $288 | $564 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | $2,066 – $3,338 | $5,164 – $8,345 |
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 6002)
- Surgery center payment (national)
- $127