HCPCS Q4132
Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure)
Current codeSkin Substitute Products41 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $238 – $12,157 | $1,246 – $5,721 | $3,116 – $14,302 |
| Cascade Valley Hospital | $174 – $7,040 | $1,640 – $5,632 | $2,051 – $7,040 |
| Deaconess Medical Center | $229 – $10,440 | $1,246 – $5,721 | $3,116 – $14,302 |
| EvergreenHealth Medical Center | $96.00 – $373 | $240 | $300 |
| Harborview Medical Center | $231 – $307 | $4,422 | $6,317 |
| Highline Medical Center | $7,524 – $15,748 | $5,343 | $17,498 |
| Island Hospital | $193 – $369 | $388 | $388 |
| Kadlec Regional Medical Center | $69.34 – $520 | $1,120 – $4,423 | $1,599 – $6,318 |
| Legacy Salmon Creek Medical Center | $84.38 – $277 | — | — |
| Mary Bridge Children's Hospital | $1,000 – $11,642 | $1,246 – $5,721 | $3,116 – $14,302 |
| MultiCare Auburn Medical Center | $239 – $10,440 | $1,246 – $5,721 | $3,116 – $14,302 |
| MultiCare Covington Medical Center | $239 – $10,440 | $1,246 – $5,721 | $3,116 – $14,302 |
| MultiCare Good Samaritan Hospital | $240 – $10,440 | $1,246 – $5,721 | $3,116 – $14,302 |
| MultiCare Valley Hospital | $229 – $10,297 | $1,246 – $5,721 | $3,116 – $14,302 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $159 – $380 | — | — |
| PeaceHealth Southwest Medical Cente | $50.61 – $410 | $450 | $692 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $69.34 – $460 | $1,126 – $5,955 | $1,609 – $8,507 |
| Providence Centralia Hospital | $241 – $539 | $1,733 – $9,645 | $3,332 – $18,549 |
| Providence Holy Family Hospital | $69.34 – $508 | $1,126 – $5,955 | $1,609 – $8,507 |
| Providence Mount Carmel Hospital | — | $1,073 – $5,689 | $1,533 – $8,127 |
| Providence Regional Medical Center Everett | $69.34 – $440 | $1,890 – $8,101 | $3,635 – $15,579 |
| Providence St Joseph Hospital | — | $1,073 – $5,689 | $1,533 – $8,127 |
| Providence St Mary Medical Center | $222 – $602 | $1,169 – $5,084 | $1,671 – $7,263 |
| Providence St Peter Hospital | $69.34 – $559 | $1,733 – $9,645 | $3,332 – $18,549 |
| Skagit Valley Hospital | $296 – $6,688 | $1,640 – $5,632 | $2,051 – $7,040 |
| St Anthony Hospital | $8,749 – $13,123 | $5,322 | $17,498 |
| St Clare Hospital | $8,749 – $13,123 | $5,044 | $17,498 |
| St Elizabeth Hospital | $5,827 – $15,748 | $6,183 | $17,498 |
| St Francis Community Hospital | $8,749 – $13,123 | $5,491 | $17,498 |
| St Joseph Medical Center | $8,749 – $13,123 | $5,795 | $17,498 |
| St Michael Medical Center | $415 – $15,748 | $7,723 | $17,498 |
| Swedish Edmonds Hospital | $69.34 – $510 | $1,146 – $5,676 | $2,388 – $11,826 |
| Swedish Issaquah | $69.34 – $613 | $1,146 – $5,676 | $2,388 – $11,826 |
| Swedish Medical Center | $69.34 – $611 | $1,146 – $5,676 | $2,388 – $11,826 |
| Swedish Medical Center / Cherry Hill | $69.34 – $611 | $1,146 – $5,676 | $2,388 – $11,826 |
| Tacoma General Allenmore Hospital | $240 – $10,440 | $1,246 – $5,721 | $3,116 – $14,302 |
| University of Washington Medical Ctr | $231 – $452 | $3,930 | $5,615 |
| Virginia Mason Medical Center | $254 – $892 | $216 – $569 | $424 – $1,115 |
| Wellfound Behavioral Health Hospital | $367 | — | — |
| Yakima Valley Memorial | $233 – $353 | — | — |
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