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HCPCS Q4171

Interfyl, 1 mg

Current codeSkin Substitute Products24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$4,326 – $9,8962 plans$2,163 – $4,657$5,408 – $11,642
Deaconess Medical CenterSpokaneFile dated 2026-08-27$3,840 – $8,4992 plans$2,163 – $4,657$5,408 – $11,642
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,871 – $3,675$2,673 – $5,251
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,537 – $9,3146 plans$2,163 – $4,657$5,408 – $11,642
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3,191 – $8,4993 plans$2,163 – $4,657$5,408 – $11,642
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,191 – $8,4993 plans$2,163 – $4,657$5,408 – $11,642
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3,191 – $8,4993 plans$2,163 – $4,657$5,408 – $11,642
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3,894 – $8,3822 plans$2,163 – $4,657$5,408 – $11,642
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,907 – $4,517$2,724 – $6,452
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$3,114 – $7,390$5,989 – $14,211
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,907 – $4,517$2,724 – $6,452
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,819 – $4,314$2,599 – $6,163
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$3,254 – $7,095$6,258 – $13,644
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,819 – $4,314$2,599 – $6,163
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$1,876 – $4,016$2,681 – $5,737
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$3,114 – $7,390$5,989 – $14,211
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$1,975 – $4,437$4,115 – $9,244
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,975 – $4,437$4,115 – $9,244
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,975 – $4,437$4,115 – $9,244
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,975 – $4,437$4,115 – $9,244
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,191 – $8,4993 plans$2,163 – $4,657$5,408 – $11,642
Yakima Valley MemorialYakimaFile dated 2026-08-27$3,1601 plan$2,257$5,643

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.