HCPCS Q4158
Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)
Current codeSkin Substitute Products38 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 – $7,789 | $1,444 – $3,666 | $3,610 – $9,164 |
| Deaconess Medical Center | $229 – $6,690 | $1,444 – $3,666 | $3,610 – $9,164 |
| EvergreenHealth Medical Center | $85.00 – $363 | — | — |
| Harborview Medical Center | $231 – $307 | $6.94 – $33,893 | $9.91 – $48,419 |
| Highline Medical Center | $634 – $51,748 | $450 – $17,557 | $1,474 – $57,498 |
| Island Hospital | $193 – $267 | — | — |
| Kadlec Regional Medical Center | $93.71 – $390 | $67.49 – $16,032 | $96.41 – $22,904 |
| Legacy Salmon Creek Medical Center | $106 – $277 | — | — |
| Mary Bridge Children's Hospital | $1,000 – $7,460 | $1,444 – $3,666 | $3,610 – $9,164 |
| MultiCare Auburn Medical Center | $239 – $6,690 | $1,444 – $3,666 | $3,610 – $9,164 |
| MultiCare Covington Medical Center | $239 – $6,690 | $1,444 – $3,666 | $3,610 – $9,164 |
| MultiCare Good Samaritan Hospital | $240 – $6,690 | $1,444 – $3,666 | $3,610 – $9,164 |
| MultiCare Valley Hospital | $229 – $6,598 | $1,444 – $3,666 | $3,610 – $9,164 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $140 – $380 | — | — |
| PeaceHealth Southwest Medical Cente | $50.61 – $410 | $1,613 – $3,227 | $2,482 – $4,964 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $110 – $460 | $1,107 – $20,229 | $1,581 – $28,899 |
| Providence Centralia Hospital | $226 – $539 | $1,703 – $18,235 | $3,275 – $35,068 |
| Providence Holy Family Hospital | $110 – $508 | $1,107 – $20,229 | $1,581 – $28,899 |
| Providence Mount Carmel Hospital | — | $1,054 – $19,408 | $1,506 – $27,725 |
| Providence Regional Medical Center Everett | $110 – $440 | $21.36 – $26,783 | $41.07 – $51,506 |
| Providence St Joseph Hospital | — | $1,054 – $19,408 | $1,506 – $27,725 |
| Providence St Mary Medical Center | — | $1,149 – $18,487 | $1,642 – $26,410 |
| Providence St Peter Hospital | $118 – $559 | $1,703 – $18,235 | $3,275 – $35,068 |
| St Anthony Hospital | $737 – $43,123 | $448 – $17,488 | $1,474 – $57,498 |
| St Clare Hospital | $737 – $43,123 | $425 – $16,573 | $1,474 – $57,498 |
| St Elizabeth Hospital | $491 – $51,748 | $521 – $20,318 | $1,474 – $57,498 |
| St Francis Community Hospital | $737 – $43,123 | $463 – $18,044 | $1,474 – $57,498 |
| St Joseph Medical Center | $737 – $43,123 | $488 – $19,043 | $1,474 – $57,498 |
| St Michael Medical Center | $235 – $51,748 | $651 – $25,377 | $1,474 – $57,498 |
| Swedish Edmonds Hospital | $110 – $510 | $123 – $21,041 | $256 – $43,835 |
| Swedish Issaquah | $110 – $613 | $1,126 – $21,041 | $2,347 – $43,835 |
| Swedish Medical Center | $110 – $611 | $1,126 – $21,041 | $2,347 – $43,835 |
| Swedish Medical Center / Cherry Hill | $110 – $611 | $1,126 – $21,041 | $2,347 – $43,835 |
| Tacoma General Allenmore Hospital | $240 – $6,690 | $1,444 – $3,666 | $3,610 – $9,164 |
| University of Washington Medical Ctr | $231 – $452 | $175 – $30,370 | $250 – $43,385 |
| 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 6001)
- Surgery center payment (national)
- $127