HCPCS Q4155
Neoxflo or clarixflo, 1 mg
Current codeSkin Substitute Products23 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Highline Medical Center | — | $650 – $2,601 | $2,130 – $8,518 |
| Kadlec Regional Medical Center | — | $1,834 – $2,727 | $2,620 – $3,896 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,849 – $2,951 | $2,641 – $4,216 |
| Providence Centralia Hospital | — | $2,982 – $4,843 | $5,735 – $9,314 |
| Providence Holy Family Hospital | — | $1,849 – $2,951 | $2,641 – $4,216 |
| Providence Mount Carmel Hospital | — | $1,763 – $2,817 | $2,519 – $4,025 |
| Providence Regional Medical Center Everett | — | $3,160 – $4,951 | $6,076 – $9,520 |
| Providence St Joseph Hospital | — | $1,763 – $2,817 | $2,519 – $4,025 |
| Providence St Mary Medical Center | — | $1,845 – $2,799 | $2,635 – $3,999 |
| Providence St Peter Hospital | — | $1,517 – $4,843 | $2,917 – $9,314 |
| St Anthony Hospital | — | $648 – $2,591 | $2,130 – $8,518 |
| St Clare Hospital | — | $614 – $2,455 | $2,130 – $8,518 |
| St Elizabeth Hospital | — | $753 – $3,010 | $2,130 – $8,518 |
| St Francis Community Hospital | — | $668 – $2,673 | $2,130 – $8,518 |
| St Joseph Medical Center | — | $705 – $2,821 | $2,130 – $8,518 |
| St Michael Medical Center | — | $940 – $3,760 | $2,130 – $8,518 |
| Swedish Edmonds Hospital | — | $1,916 – $3,003 | $3,991 – $6,257 |
| Swedish Issaquah | — | $1,916 – $3,003 | $3,991 – $6,257 |
| Swedish Medical Center | — | $1,916 – $3,003 | $3,991 – $6,257 |
| Swedish Medical Center / Cherry Hill | — | $1,916 – $3,003 | $3,991 – $6,257 |
Medicare (traditional) reference
CMS publishes no national amount for this code.