HCPCS Q4154
Biovance, per square centimeter (add-on, list separately in addition to primary procedure)
Current codeSkin Substitute Products29 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 – $13,320 | $6,268 | $15,670 |
| Deaconess Medical Center | $229 – $11,439 | $6,268 | $15,670 |
| Harborview Medical Center | $231 – $307 | — | — |
| Island Hospital | $193 – $267 | — | — |
| Kadlec Regional Medical Center | $179 – $549 | $1,158 – $6,066 | $1,654 – $8,665 |
| Legacy Salmon Creek Medical Center | $208 – $301 | — | — |
| Mary Bridge Children's Hospital | $1,000 – $12,755 | $6,268 | $15,670 |
| MultiCare Auburn Medical Center | $239 – $11,439 | $6,268 | $15,670 |
| MultiCare Covington Medical Center | $239 – $11,439 | $6,268 | $15,670 |
| MultiCare Good Samaritan Hospital | $240 – $11,439 | $6,268 | $15,670 |
| MultiCare Valley Hospital | $229 – $11,282 | $6,268 | $15,670 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $159 – $380 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $143 – $460 | $1,165 – $8,028 | $1,664 – $11,468 |
| Providence Centralia Hospital | $244 – $857 | $1,792 – $14,110 | $3,446 – $27,135 |
| Providence Holy Family Hospital | $143 – $508 | $1,165 – $8,028 | $1,664 – $11,468 |
| Providence Mount Carmel Hospital | — | $1,109 – $7,689 | $1,585 – $10,984 |
| Providence Regional Medical Center Everett | $143 – $440 | $1,955 – $11,022 | $3,760 – $21,195 |
| Providence St Joseph Hospital | — | $1,109 – $7,689 | $1,585 – $10,984 |
| Providence St Mary Medical Center | $222 – $921 | $1,209 – $7,205 | $1,728 – $10,292 |
| Providence St Peter Hospital | $122 – $559 | $1,792 – $14,110 | $3,446 – $27,135 |
| Swedish Edmonds Hospital | $143 – $510 | $1,185 – $8,065 | $2,470 – $16,802 |
| Swedish Issaquah | $143 – $613 | $1,185 – $8,065 | $2,470 – $16,802 |
| Swedish Medical Center | $143 – $611 | $1,185 – $8,065 | $2,470 – $16,802 |
| Swedish Medical Center / Cherry Hill | $143 – $611 | $1,185 – $8,065 | $2,470 – $16,802 |
| Tacoma General Allenmore Hospital | $240 – $11,439 | $6,268 | $15,670 |
| University of Washington Medical Ctr | $231 – $452 | — | — |
| 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