HCPCS Q4258
Enverse, per square centimeter (add-on, list separately in addition to primary procedure)
Current codeSkin Substitute Products34 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 – $644 | — | — |
| Deaconess Medical Center | $229 – $567 | — | — |
| Harborview Medical Center | $231 – $307 | — | — |
| Highline Medical Center | $178 – $1,239 | $126 – $421 | $414 – $1,377 |
| Island Hospital | $193 – $267 | — | — |
| Kadlec Regional Medical Center | $91.17 – $390 | — | — |
| Legacy Salmon Creek Medical Center | $141 – $277 | — | — |
| Mary Bridge Children's Hospital | $1,000 | — | — |
| MultiCare Auburn Medical Center | $239 – $597 | — | — |
| MultiCare Covington Medical Center | $239 – $597 | — | — |
| MultiCare Good Samaritan Hospital | $240 – $597 | — | — |
| MultiCare Valley Hospital | $229 – $566 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $137 – $380 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $81.17 – $460 | — | — |
| Providence Centralia Hospital | $220 – $539 | — | — |
| Providence Holy Family Hospital | $81.17 – $508 | — | — |
| Providence Regional Medical Center Everett | $81.17 – $440 | — | — |
| Providence St Mary Medical Center | $222 – $473 | — | — |
| Providence St Peter Hospital | $122 – $559 | — | — |
| St Anthony Hospital | $298 – $1,033 | $126 – $419 | $414 – $1,377 |
| St Clare Hospital | $298 – $1,033 | $119 – $397 | $414 – $1,377 |
| St Elizabeth Hospital | $138 – $1,239 | $146 – $487 | $414 – $1,377 |
| St Francis Community Hospital | $298 – $1,033 | $130 – $432 | $414 – $1,377 |
| St Joseph Medical Center | $298 – $1,033 | $137 – $456 | $414 – $1,377 |
| St Michael Medical Center | $265 – $1,239 | $183 – $608 | $414 – $1,377 |
| Swedish Edmonds Hospital | $81.17 – $510 | — | — |
| Swedish Issaquah | $81.17 – $613 | — | — |
| Swedish Medical Center | $81.17 – $611 | — | — |
| Swedish Medical Center / Cherry Hill | $81.17 – $611 | — | — |
| Tacoma General Allenmore Hospital | $240 – $597 | — | — |
| University of Washington Medical Ctr | $231 – $452 | — | — |
| 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 6002)
- Surgery center payment (national)
- $127