HCPCS Q4156
Neox 100 or clarix 100, 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 – $644 | — | — |
| Deaconess Medical Center | $229 – $567 | — | — |
| Harborview Medical Center | $231 – $307 | — | — |
| Island Hospital | $193 – $267 | — | — |
| Kadlec Regional Medical Center | $79.54 – $390 | $1,043 | $1,490 |
| Legacy Salmon Creek Medical Center | $104 – $277 | — | — |
| Mary Bridge Children's Hospital | $1,000 | — | — |
| MultiCare Auburn Medical Center | $239 – $597 | — | — |
| MultiCare Covington Medical Center | $239 – $597 | — | — |
| MultiCare Good Samaritan Hospital | $240 – $597 | — | — |
| MultiCare Valley Hospital | $229 – $566 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $119 – $380 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $120 – $460 | $1,049 | $1,498 |
| Providence Centralia Hospital | $192 – $539 | $1,614 | $3,104 |
| Providence Holy Family Hospital | $120 – $508 | $1,049 | $1,498 |
| Providence Mount Carmel Hospital | — | $999 | $1,428 |
| Providence Regional Medical Center Everett | $120 – $440 | $1,761 | $3,386 |
| Providence St Joseph Hospital | — | $999 | $1,428 |
| Providence St Mary Medical Center | $222 – $423 | $1,089 | $1,556 |
| Providence St Peter Hospital | $120 – $559 | $1,614 | $3,104 |
| Swedish Edmonds Hospital | $120 – $510 | $1,068 | $2,224 |
| Swedish Issaquah | $120 – $613 | $1,068 | $2,224 |
| Swedish Medical Center | $120 – $611 | $1,068 | $2,224 |
| Swedish Medical Center / Cherry Hill | $120 – $611 | $1,068 | $2,224 |
| Tacoma General Allenmore Hospital | $240 – $597 | — | — |
| 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