Every billing code / HCPCS Q4133 / St Clare Hospital
HCPCS Q4133 at St Clare Hospital
Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)
St Clare Hospital, Lakewood
Description from CMS's HCPCS Level II code file.
What St Clare Hospital publishes for this code: as an outpatient
St Clare Hospital’s prices for HCPCS Q4133, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|
| Commercial insuranceInsurer rates | $395 – $37,2673 plans | — |
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| Cash pricePaying yourself, without insurance | $158 – $14,323 | — |
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| List priceBefore any discount; few people pay it | $548 – $49,690 | — |
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Lowest and highest amounts St Clare Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.
What St Clare Hospital publishes for this code: during a hospital stay
St Clare Hospital’s prices for HCPCS Q4133, during a hospital stay| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|
| Commercial insuranceInsurer rates | $395 – $37,2673 plans | — |
|---|
| Cash pricePaying yourself, without insurance | $158 – $14,323 | — |
|---|
| List priceBefore any discount; few people pay it | $548 – $49,690 | — |
|---|
Lowest and highest amounts St Clare Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for HCPCS Q4133 at St Clare Hospital| Bill | What it’s for | Original Medicare allows | Private plan estimate |
|---|
| Hospital's feeThe hospital | The drug, per billing unit | — | The price above |
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Drug prices are per billing unit (the unit is in the code's name, such as "per 10 mg"). Your dose decides how many units you're billed, so the total depends on your prescription, and giving the drug may be billed separately.
Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare HCPCS Q4133 at every Washington hospital, with Medicare’s reference amounts.