HCPCS Q4186

Epifix, per square centimeter (add-on, list separately in addition to primary procedure)

Current codeSkin Substitute Products44 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.

Prices for HCPCS Q4186 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$238 – $3,6306 plans$1,708$4,271
Cascade Medical CenterLeavenworth$169 – $5,5812 plans$7,121$8,901
Cascade Valley HospitalArlington$55.25 – $20,5227 plans$520 – $16,417$650 – $20,522
Deaconess Medical CenterSpokaneFile dated 2026-08-27$229 – $3,11810 plans$1,708$4,271
EvergreenHealth Medical CenterKirkland$146 – $7419 plans$638$797
EvergreenHealth MonroeMonroe$462 – $68212 plans$586$733
Harborview Medical CenterSeattleFile dated 2026-04-01$231 – $3073 plans$1,651 – $10,262$2,358 – $14,660
Highline Medical CenterBurienFile dated 2026-02-28$447 – $66,2695 plans$317 – $22,484$1,040 – $73,633
Island HospitalAnacortes$193 – $36917 plans$388$388
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$197 – $6028 plans$189 – $17,110$270 – $24,443
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$238 – $3564 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,000 – $3,4778 plans$1,708$4,271
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$239 – $3,1187 plans$1,708$4,271
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$239 – $3,1187 plans$1,708$4,271
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$240 – $3,1187 plans$1,708$4,271
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$229 – $3,07510 plans$1,708$4,271
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$159 – $3806 plans——
PeaceHealth Southwest Medical CenteVancouver$50.61 – $4104 plans$103 – $616$158 – $948
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$164 – $46010 plans$1,024 – $21,589$1,464 – $30,841
Providence Centralia HospitalCentraliaFile dated 2026-04-01$244 – $1,0168 plans$1,260 – $19,460$2,423 – $37,424
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$164 – $50810 plans$1,024 – $21,589$1,464 – $30,841
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$972 – $20,712$1,389 – $29,588
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$164 – $44011 plans$311 – $28,583$599 – $54,967
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$972 – $20,712$1,389 – $29,588
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$222 – $9566 plans$876 – $19,729$1,252 – $28,185
Providence St Peter HospitalOlympiaFile dated 2026-04-01$122 – $55910 plans$1,260 – $19,460$2,423 – $37,424
Skagit Valley HospitalMount Vernon$93.80 – $19,4957 plans$520 – $16,417$650 – $20,522
St Anthony HospitalGig HarborFile dated 2026-02-28$749 – $55,2253 plans$316 – $22,395$1,040 – $73,633
St Clare HospitalLakewoodFile dated 2026-02-28$749 – $55,2253 plans$300 – $21,224$1,040 – $73,633
St Elizabeth HospitalEnumclawFile dated 2026-02-28$346 – $66,2699 plans$367 – $26,019$1,040 – $73,633
St Francis Community HospitalFederal WayFile dated 2026-02-28$749 – $55,2253 plans$326 – $23,108$1,040 – $73,633
St Joseph Medical CenterTacomaFile dated 2026-02-28$749 – $55,2253 plans$344 – $24,387$1,040 – $73,633
St Michael Medical CenterSilverdaleFile dated 2026-02-28$299 – $66,26910 plans$459 – $32,498$1,040 – $73,633
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$164 – $51010 plans$848 – $22,454$1,767 – $46,780
Swedish IssaquahIssaquahFile dated 2026-04-01$164 – $61310 plans$193 – $22,454$402 – $46,780
Swedish Medical CenterSeattleFile dated 2026-04-01$164 – $61111 plans$193 – $22,454$402 – $46,780
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$164 – $61111 plans$193 – $22,454$402 – $46,780
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$240 – $3,1187 plans$1,708$4,271
Three Rivers HospitalBrewster—$804 – $6,066$804 – $6,066
University of Washington Medical CtrSeattleFile dated 2026-04-01$231 – $4526 plans$1,441 – $9,121$2,058 – $13,030
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$3671 plan——
WhidbeyHealth Medical CenterCoupeville—$557 – $1,955$557 – $1,955
Yakima Valley MemorialYakimaFile dated 2026-08-27$233 – $29,7659 plans$1,710 – $13,893$4,275 – $34,732

Lowest and highest amounts each hospital lists for this code as an outpatient, 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

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