HCPCS Q4128
Flex hd, or allopatch hd, 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 | — | $551 – $13,083 | $1,377 – $32,707 |
| Cascade Valley Hospital | $4,200 – $5,928 | $3,347 – $4,685 | $4,184 – $5,857 |
| Deaconess Medical Center | — | $551 – $13,083 | $1,377 – $32,707 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $1,757 – $2,535 | $5,753 – $8,302 |
| Island Hospital | $149 | — | — |
| Kadlec Regional Medical Center | — | $252 – $22,708 | $360 – $32,440 |
| Legacy Salmon Creek Medical Center | — | $215 | $330 |
| Mary Bridge Children's Hospital | — | $551 – $13,083 | $1,377 – $32,707 |
| MultiCare Auburn Medical Center | — | $551 – $13,083 | $1,377 – $32,707 |
| MultiCare Covington Medical Center | — | $551 – $13,083 | $1,377 – $32,707 |
| MultiCare Good Samaritan Hospital | — | $551 – $13,083 | $1,377 – $32,707 |
| MultiCare Valley Hospital | — | $551 – $13,083 | $1,377 – $32,707 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $354 – $28,026 | $506 – $40,037 |
| Providence Centralia Hospital | — | $375 – $25,509 | $721 – $49,055 |
| Providence Holy Family Hospital | — | $354 – $28,026 | $506 – $40,037 |
| Providence Mount Carmel Hospital | — | $335 – $26,917 | $479 – $38,453 |
| Providence Regional Medical Center Everett | — | $415 – $35,630 | $798 – $68,519 |
| Providence St Joseph Hospital | — | $335 – $26,917 | $479 – $38,453 |
| Providence St Mary Medical Center | — | $343 – $30,966 | $489 – $44,238 |
| Providence St Peter Hospital | — | $375 – $25,509 | $721 – $49,055 |
| Skagit Valley Hospital | — | $3,347 – $4,685 | $4,184 – $5,857 |
| St Anthony Hospital | — | $1,750 – $2,525 | $5,753 – $8,302 |
| St Clare Hospital | — | $1,658 – $2,393 | $5,753 – $8,302 |
| St Elizabeth Hospital | $978 – $1,719 | $2,033 – $2,934 | $5,753 – $8,302 |
| St Francis Community Hospital | — | $1,805 – $2,605 | $5,753 – $8,302 |
| St Joseph Medical Center | — | $1,905 – $2,750 | $5,753 – $8,302 |
| St Michael Medical Center | — | $2,539 – $3,664 | $5,753 – $8,302 |
| Swedish Edmonds Hospital | — | $257 – $30,231 | $535 – $62,981 |
| Swedish Issaquah | — | $257 – $30,231 | $535 – $62,981 |
| Swedish Medical Center | — | $257 – $30,231 | $535 – $62,981 |
| Swedish Medical Center / Cherry Hill | — | $257 – $30,231 | $535 – $62,981 |
| Tacoma General Allenmore Hospital | — | $551 – $13,083 | $1,377 – $32,707 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $55.08 – $153 | $108 – $300 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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