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

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Prices for HCPCS Q4186 by hospital
HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$1,708$4,271
Cascade Medical CenterLeavenworth$158 – $7,9402 plans$7,121$8,901
Cascade Valley HospitalArlington—$520 – $16,417$650 – $20,522
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$1,708$4,271
EvergreenHealth Medical CenterKirkland—$638$797
EvergreenHealth MonroeMonroe—$586$733
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,651 – $10,262$2,358 – $14,660
Highline Medical CenterBurienFile dated 2026-02-28—$317 – $22,484$1,040 – $73,633
Island HospitalAnacortes$149 – $1563 plans$388$388
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$189 – $17,110$270 – $24,443
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$1,708$4,271
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$1,708$4,271
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$1,708$4,271
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$1,708$4,271
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$1,708$4,271
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,024 – $21,589$1,464 – $30,841
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,260 – $19,460$2,423 – $37,424
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$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—$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—$876 – $19,729$1,252 – $28,185
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,260 – $19,460$2,423 – $37,424
Skagit Valley HospitalMount Vernon—$520 – $16,417$650 – $20,522
St Anthony HospitalGig HarborFile dated 2026-02-28—$316 – $22,395$1,040 – $73,633
St Clare HospitalLakewoodFile dated 2026-02-28—$300 – $21,224$1,040 – $73,633
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$367 – $26,019$1,040 – $73,633
St Francis Community HospitalFederal WayFile dated 2026-02-28—$326 – $23,108$1,040 – $73,633
St Joseph Medical CenterTacomaFile dated 2026-02-28—$344 – $24,387$1,040 – $73,633
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$459 – $32,498$1,040 – $73,633
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$848 – $22,454$1,767 – $46,780
Swedish IssaquahIssaquahFile dated 2026-04-01—$193 – $22,454$402 – $46,780
Swedish Medical CenterSeattleFile dated 2026-04-01—$193 – $22,454$402 – $46,780
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$193 – $22,454$402 – $46,780
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$1,708$4,271
Three Rivers HospitalBrewster—$804 – $6,066$804 – $6,066
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,441 – $9,121$2,058 – $13,030
Yakima Valley MemorialYakimaFile dated 2026-08-27—$1,710 – $13,893$4,275 – $34,732

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

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