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
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) |
|---|---|---|---|
| Capital Medical Center | — | $1,444 – $3,666 | $3,610 – $9,164 |
| Deaconess Medical Center | — | $1,444 – $3,666 | $3,610 – $9,164 |
| EvergreenHealth Medical Center | — | — | — |
| Harborview Medical Center | — | $6.94 – $33,893 | $9.91 – $48,419 |
| Highline Medical Center | — | $450 – $17,557 | $1,474 – $57,498 |
| Kadlec Regional Medical Center | — | $67.49 – $16,032 | $96.41 – $22,904 |
| Mary Bridge Children's Hospital | — | $1,444 – $3,666 | $3,610 – $9,164 |
| MultiCare Auburn Medical Center | — | $1,444 – $3,666 | $3,610 – $9,164 |
| MultiCare Covington Medical Center | — | $1,444 – $3,666 | $3,610 – $9,164 |
| MultiCare Good Samaritan Hospital | — | $1,444 – $3,666 | $3,610 – $9,164 |
| MultiCare Valley Hospital | — | $1,444 – $3,666 | $3,610 – $9,164 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,107 – $20,229 | $1,581 – $28,899 |
| Providence Centralia Hospital | — | $1,703 – $18,235 | $3,275 – $35,068 |
| Providence Holy Family Hospital | — | $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 | — | $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 | — | $1,703 – $18,235 | $3,275 – $35,068 |
| St Anthony Hospital | — | $448 – $17,488 | $1,474 – $57,498 |
| St Clare Hospital | — | $425 – $16,573 | $1,474 – $57,498 |
| St Elizabeth Hospital | — | $521 – $20,318 | $1,474 – $57,498 |
| St Francis Community Hospital | — | $463 – $18,044 | $1,474 – $57,498 |
| St Joseph Medical Center | — | $488 – $19,043 | $1,474 – $57,498 |
| St Michael Medical Center | — | $651 – $25,377 | $1,474 – $57,498 |
| Swedish Edmonds Hospital | — | $123 – $21,041 | $256 – $43,835 |
| Swedish Issaquah | — | $1,126 – $21,041 | $2,347 – $43,835 |
| Swedish Medical Center | — | $1,126 – $21,041 | $2,347 – $43,835 |
| Swedish Medical Center / Cherry Hill | — | $1,126 – $21,041 | $2,347 – $43,835 |
| Tacoma General Allenmore Hospital | — | $1,444 – $3,666 | $3,610 – $9,164 |
| University of Washington Medical Ctr | — | $175 – $30,370 | $250 – $43,385 |
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