HCPCS Q4283
Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure)
Current codeSkin Substitute Products29 hospitals with prices
What Washington hospitals publish for this code
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| Harborview Medical Center | — | — | — |
| Island Hospital | $149 – $156 | — | — |
| Kadlec Regional Medical Center | — | $6,680 – $14,747 | $9,542 – $21,067 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $8,840 – $18,607 | $12,629 – $26,582 |
| Providence Centralia Hospital | — | $14,909 – $16,773 | $28,672 – $32,256 |
| Providence Holy Family Hospital | — | $8,840 – $18,607 | $12,629 – $26,582 |
| Providence Mount Carmel Hospital | — | $8,467 – $17,852 | $12,096 – $25,502 |
| Providence Regional Medical Center Everett | — | $12,137 – $24,636 | $23,341 – $47,376 |
| Providence St Joseph Hospital | — | $8,467 – $17,852 | $12,096 – $25,502 |
| Providence St Mary Medical Center | — | $7,934 – $17,005 | $11,334 – $24,293 |
| Providence St Peter Hospital | — | $14,909 – $16,773 | $28,672 – $32,256 |
| Swedish Edmonds Hospital | — | $8,881 – $19,354 | $18,502 – $40,320 |
| Swedish Issaquah | — | $8,881 – $19,354 | $18,502 – $40,320 |
| Swedish Medical Center | — | $8,881 – $19,354 | $18,502 – $40,320 |
| Swedish Medical Center / Cherry Hill | — | $8,881 – $19,354 | $18,502 – $40,320 |
| Tacoma General Allenmore Hospital | — | — | — |
| University of Washington Medical Ctr | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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