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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

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Unknown: The source file doesn't say which population this rate applies to.

HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$551 – $13,083$1,377 – $32,707
Cascade Valley HospitalArlington—$3,347 – $4,685$4,184 – $5,857
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$551 – $13,083$1,377 – $32,707
Highline Medical CenterBurienFile dated 2026-02-28—$1,757 – $2,535$5,753 – $8,302
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$252 – $22,708$360 – $32,440
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$215$330
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$551 – $13,083$1,377 – $32,707
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$551 – $13,083$1,377 – $32,707
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$551 – $13,083$1,377 – $32,707
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$551 – $13,083$1,377 – $32,707
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$551 – $13,083$1,377 – $32,707
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$354 – $28,026$506 – $40,037
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$375 – $25,509$721 – $49,055
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$354 – $28,026$506 – $40,037
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$335 – $26,917$479 – $38,453
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$415 – $35,630$798 – $68,519
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$335 – $26,917$479 – $38,453
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$343 – $30,966$489 – $44,238
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$375 – $25,509$721 – $49,055
Skagit Valley HospitalMount Vernon—$3,347 – $4,685$4,184 – $5,857
St Anthony HospitalGig HarborFile dated 2026-02-28—$1,750 – $2,525$5,753 – $8,302
St Clare HospitalLakewoodFile dated 2026-02-28—$1,658 – $2,393$5,753 – $8,302
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$2,033 – $2,934$5,753 – $8,302
St Francis Community HospitalFederal WayFile dated 2026-02-28—$1,805 – $2,605$5,753 – $8,302
St Joseph Medical CenterTacomaFile dated 2026-02-28—$1,905 – $2,750$5,753 – $8,302
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$2,539 – $3,664$5,753 – $8,302
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$257 – $30,231$535 – $62,981
Swedish IssaquahIssaquahFile dated 2026-04-01—$257 – $30,231$535 – $62,981
Swedish Medical CenterSeattleFile dated 2026-04-01—$257 – $30,231$535 – $62,981
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$257 – $30,231$535 – $62,981
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$551 – $13,083$1,377 – $32,707
Virginia Mason Medical CenterSeattle—$55.08 – $153$108 – $300

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

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