HCPCS Q4367
Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure)
Current codeSkin Substitute Products15 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $141 – $155 | — | — |
| Deaconess Medical Center | $136 – $149 | — | — |
| Harborview Medical Center | $144 – $159 | — | — |
| Island Hospital | $149 – $157 | — | — |
| Legacy Salmon Creek Medical Center | $143 – $155 | — | — |
| Mary Bridge Children's Hospital | $142 – $157 | — | — |
| MultiCare Auburn Medical Center | $142 – $156 | — | — |
| MultiCare Covington Medical Center | $142 – $156 | — | — |
| MultiCare Good Samaritan Hospital | $142 – $157 | — | — |
| MultiCare Valley Hospital | $140 – $149 | — | — |
| Olympic Medical Center | $156 – $201 | — | — |
| Tacoma General Allenmore Hospital | $142 – $157 | — | — |
| University of Washington Medical Ctr | $144 – $159 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $146 – $163 | — | — |
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