HCPCS Q4151
Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure)
Current codeSkin Substitute Products36 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 – $27,370 | $422 – $12,880 | $1,055 – $32,200 |
| Deaconess Medical Center | $229 – $23,506 | $422 – $12,880 | $1,055 – $32,200 |
| Harborview Medical Center | $231 – $307 | $10,206 | $14,580 |
| Highline Medical Center | $1,648 – $57,498 | $1,170 – $19,508 | $3,833 – $63,887 |
| Island Hospital | $193 – $267 | — | — |
| Kadlec Regional Medical Center | $178 – $545 | $265 – $10,544 | $379 – $15,063 |
| Legacy Salmon Creek Medical Center | $212 – $307 | — | — |
| Mary Bridge Children's Hospital | $681 – $26,211 | $422 – $12,880 | $1,055 – $32,200 |
| MultiCare Auburn Medical Center | $239 – $23,506 | $422 – $12,880 | $1,055 – $32,200 |
| MultiCare Covington Medical Center | $239 – $23,506 | $422 – $12,880 | $1,055 – $32,200 |
| MultiCare Good Samaritan Hospital | $240 – $23,506 | $422 – $12,880 | $1,055 – $32,200 |
| MultiCare Valley Hospital | $229 – $23,184 | $422 – $12,880 | $1,055 – $32,200 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $159 – $380 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $150 – $460 | $372 – $13,766 | $532 – $19,666 |
| Providence Centralia Hospital | $244 – $875 | $394 – $15,350 | $758 – $29,520 |
| Providence Holy Family Hospital | $150 – $508 | $372 – $13,766 | $532 – $19,666 |
| Providence Mount Carmel Hospital | — | $352 – $13,192 | $504 – $18,846 |
| Providence Regional Medical Center Everett | $150 – $440 | $436 – $18,375 | $839 – $35,337 |
| Providence St Joseph Hospital | — | $352 – $13,192 | $504 – $18,846 |
| Providence St Mary Medical Center | $222 – $893 | $307 – $12,393 | $438 – $17,704 |
| Providence St Peter Hospital | $122 – $559 | $394 – $15,350 | $758 – $29,520 |
| St Anthony Hospital | $1,917 – $47,915 | $1,166 – $19,431 | $3,833 – $63,887 |
| St Clare Hospital | $1,917 – $47,915 | $1,105 – $18,415 | $3,833 – $63,887 |
| St Elizabeth Hospital | $1,276 – $57,498 | $1,355 – $22,575 | $3,833 – $63,887 |
| St Francis Community Hospital | $1,917 – $47,915 | $1,203 – $20,049 | $3,833 – $63,887 |
| St Joseph Medical Center | $1,917 – $47,915 | $1,270 – $21,159 | $3,833 – $63,887 |
| St Michael Medical Center | $271 – $57,498 | $1,692 – $28,196 | $3,833 – $63,887 |
| Swedish Edmonds Hospital | $150 – $510 | $270 – $13,843 | $563 – $28,840 |
| Swedish Issaquah | $150 – $613 | $270 – $13,843 | $563 – $28,840 |
| Swedish Medical Center | $150 – $611 | $270 – $13,843 | $563 – $28,840 |
| Swedish Medical Center / Cherry Hill | $150 – $611 | $270 – $13,843 | $563 – $28,840 |
| Tacoma General Allenmore Hospital | $240 – $23,506 | $422 – $12,880 | $1,055 – $32,200 |
| University of Washington Medical Ctr | $231 – $452 | $9,072 | $12,960 |
| 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