Home / Procedures / HCPCS Q4126
Advertisement
HCPCS Q4126
MTRX DERMASPAN .9-1.99 11X14CM - as described in hospitals' own price files.
86hospitals publishing a price
$10,757median cash price
$2,575median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Robert Wood Johnson University Hospital At Hamilton | Hamilton, NJ | $40.97 | - | $250 | $31.27 - $212 |
| Robert Wood Johnson University Hospital - Somerset | Somerville, NJ | $42.25 | - | $250 | $37.15 - $229 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $53.32 | - | $250 | $40.00 - $208 |
| George Washington Univ Hospital | Washington, DC | $206 | $59.81 | $515 | $56.43 - $65,477 |
| St. Joseph'S Medical Center Of Stockton | Stockton, CA | $72.32 | - | $266 | $39.50 - $22,298 |
| Methodist Hospital Of Sacramento | Sacramento, CA | $106 | - | $440 | $59.54 - $1,539 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $107 | - | $295 | $52.50 - $44,595 |
| Penn State Health Hampden Medical Center | Enola, PA | $103 | $123 | $328 | $84.21 - $520 |
| Penn State Health Holy Spirit Medical Center | Camp Hill, PA | $78.28 | $124 | $328 | $89.12 - $526 |
| Penn State Health St. Joseph | Reading, PA | $85.23 | $128 | $328 | $0.01 - $688 |
| Milton S Hershey Medical Center | Hershey, PA | $98.22 | $133 | $296 | $53.36 - $710 |
| Mercy Hospital Of Folsom | Folsom, CA | $164 | - | $440 | $36.85 - $1,655 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $178 | - | $355 | $59.54 - $10,925 |
| St. Elizabeth Community Hospital | Red Bluff, CA | $211 | - | $355 | $59.54 - $10,925 |
| Doctors Hospital | Columbus, OH | $221 | - | $340 | - |
| Dublin Methodist Hospital | Dublin, OH | $221 | - | $340 | - |
| Grant Medical Center | Columbus, OH | $221 | - | $340 | - |
| Riverside Methodist Hospital | Columbus, OH | $221 | - | $340 | - |
| Community Hospital Of San Bernardino | San Bernardino, CA | $224 | - | $575 | $39.00 - $22,940 |
| Dupont Hospital LLC | Fort Wayne, IN | $174 | $342 | $645 | $87.75 - $580 |
| San Francisco VA Medical Center | San Francisco, CA | $739 | - | $1,320 | - |
| San Mateo Medical Center | San Mateo, CA | $739 | - | $1,320 | - |
| Tri-City Medical Center | Oceanside, CA | $739 | - | $1,320 | - |
| Santa Clara Valley Medical Center | San Jose, CA | $739 | - | $1,320 | - |
| Sutter Medical Center, Sacramento | Sacramento, CA | $739 | - | $1,320 | - |
| Sutter Roseville Medical Center | Roseville, CA | $739 | - | $1,320 | - |
| Henderson Hospital | Henderson, NV | - | $1,697 | $5,504 | $59.81 - $14,422 |
| Spring Valley Hospital Medical Center | Las Vegas, NV | - | $1,707 | $5,504 | $59.81 - $14,422 |
| Temecula Valley Hospital | Temecula, CA | - | $1,857 | $6,424 | $78.34 - $5,782 |
| Allen County Regional Hospital | Iola, KS | $2,119 | - | $3,531 | $1,165 - $3,460 |
| Providence St. Joseph Hospital | Eureka, CA | $2,423 | - | $5,047 | - |
| Medstar Union Memorial Hospital | Baltimore, MD | $3,072 | $2,575 | $3,135 | $1,975 - $3,135 |
| Merit Health Wesley | Hattiesburg, MS | $1,528 | $2,612 | $7,277 | $87.51 - $7,277 |
| Medstar Harbor Hospital | Baltimore, MD | $3,889 | $3,196 | $3,969 | $2,374 - $3,969 |
| Medstar Franklin Square Medical Center | Rosedale, MD | $4,107 | $3,436 | $4,191 | $2,628 - $4,191 |
| Medstar Montgomery Medical Center | Olney, MD | $4,327 | $3,538 | $4,416 | $2,606 - $4,416 |
| Medstar Good Samaritan Hospital | Baltimore, MD | $4,829 | $4,064 | $4,927 | $3,137 - $4,927 |
| Orange County Global Medical Center | Santa Ana, CA | $4,472 | - | $8,600 | - |
| Los Angeles General Medical Center | Los Angeles, CA | $4,472 | - | $8,600 | - |
| Lompoc Valley Medical Center | Lompoc, CA | $4,472 | - | $8,600 | - |
| St. Mary'S Regional Medical Center | Enid, OK | - | $4,767 | $12,902 | $68.18 - $10,193 |
| Medstar Southern Maryland Hospital Center | Clinton, MD | $6,211 | $5,027 | $6,338 | $3,642 - $6,338 |
| Medstar Saint Mary'S Hospital | Leonardtown, MD | $6,422 | $5,186 | $6,553 | $3,742 - $6,553 |
| Plains Regional Medical Center | Clovis, NM | $3,663 | $8,546 | $13,565 | $70.31 - $11,937 |
| Providence Redwood Memorial Hospital | Fortuna, CA | $10,471 | - | $20,532 | - |
| St. Patrick Hospital | Missoula, MT | $11,043 | - | $13,803 | - |
| Providence Valdez Medical Center | Valdez, AK | $11,910 | - | $15,270 | - |
| Healdsburg Hospital | Healdsburg, CA | $12,319 | - | $24,156 | - |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $12,621 | - | $36,061 | - |
| Saint John'S Health Center | Santa Monica, CA | $12,621 | - | $36,061 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $12,621 | - | $36,061 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $12,621 | - | $36,061 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $12,621 | - | $36,061 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $12,621 | - | $36,061 | - |
| Kadlec Regional Medical Center | Richland, WA | $12,621 | - | $18,030 | - |
| Providence Centralia Hospital | Centralia, WA | $14,355 | - | $27,606 | - |
| Providence St. Peter Hospital | Olympia, WA | $14,355 | - | $27,606 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $14,554 | - | $20,791 | - |
| Providence Mount Carmel Hospital | Colville, WA | $15,278 | - | $21,826 | - |
| Providence St. Joseph Hospital | Chewelah, WA | $15,278 | - | $21,826 | - |
| Providence Holy Family Hospital | Spokane, WA | $15,925 | - | $22,750 | - |
| Providence Kodiak Island Medical Ctr | Kodiak, AK | $16,150 | - | $20,705 | - |
| Covenant Hospital Levelland | Levelland, TX | $16,450 | - | $39,167 | - |
| Covenant Hospital Plainview | Plainview, TX | $16,450 | - | $39,167 | - |
| Covenant Health Hobbs Hospital | Hobbs, NM | $16,450 | - | $39,167 | - |
| Covenant Medical Center | Lubbock, TX | $16,450 | - | $39,167 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $16,564 | - | $34,508 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $16,564 | - | $34,508 | - |
| Swedish Issaquah | Issaquah, WA | $16,564 | - | $34,508 | - |
| Grace Surgical Hospital | Lubbock, TX | $16,740 | - | $39,857 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $17,276 | - | $23,034 | - |
| Providence Newberg Medical Center | Newberg, OR | $17,276 | - | $23,034 | - |
| Providence Seaside Hospital | Seaside, OR | $17,276 | - | $23,034 | - |
| Providence Medford Medical Center | Medford, OR | $17,276 | - | $23,034 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $17,276 | - | $23,034 | - |
| Providence St. Vincent Medical Center | Portland, OR | $17,276 | - | $23,034 | - |
| Providence Portland Medical Center | Portland, OR | $17,276 | - | $23,034 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $17,276 | - | $23,034 | - |
| St. Mary Medical Center | Long Beach, CA | $19,297 | - | $40,202 | - |
| Providence Alaska Medical Center | Anchorage, AK | $19,851 | - | $25,450 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $19,887 | - | $38,994 | - |
| Providence Mission Hospital | Mission Viejo, CA | $20,291 | - | $42,272 | - |
| Providence Regional Medical Center Everett | Everett, WA | $21,084 | - | $40,547 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $21,285 | - | $44,343 | - |
| Petaluma Valley Hospital | Petaluma, CA | $26,663 | - | $52,280 | - |
| Providence Santa Rosa Memorial Hospital | Santa Rosa, CA | $26,663 | - | $52,280 | - |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
Advertisement