πŸ“‹ Medical Procedure Code

Q4121

Theraskin, per square centimeter
Other Descriptions:
THERASKIN 13SQCM
THERASKIN 39SQCM
THERASKIN 18SQCM
THERASKIN 13 SQ CM
THERASKIN 1 SQ CM
GRAFT THERASKIN 13 SQ CM (101TSS)
GRAFT THERASKIN 39 SQ CM (102TSL)
GRAFT SKIN 2X1IN THERASKIN CRYOPRESERVE MESH ALLOGRAFT
GRAFT SKIN 3X2IN THERASKIN 1.5:1 LARGE MESH ALLOGRAFT CRYOPRESERVE
Related codes:
Code: Q4120
Description: Matristem burn matrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4122
Description: Dermacell, dermacell awm or dermacell awm porous, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4123
Description: Alloskin rt, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4124
Description: Oasis ultra tri-layer wound matrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4125
Description: Arthroflex, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4126
Description: Memoderm, dermaspan, tranzgraft or integuply, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4127
Description: Talymed, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4128
Description: Flex hd, allopatch hd, or matrix hd, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)

Hospital Prices in Indiana

Detailed hospital-level pricing for procedure code Q4128 across Indiana. Compare prices from different hospitals to understand cost variations in your area.

πŸ—ΊοΈ Hospital Locations Map

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πŸ“Š Hospital Prices in Indiana

State Average: $860

Hospital Address Code Price Last Updated
Franciscan Health Hammond , Hammond Q4121 $37 [source] 4 years ago
Franciscan Health Mooresville , Mooresville Q4121 $38 [source] 4 years ago
Franciscan Health Indianapolis , Indianapolis Q4121 $38 [source] 4 years ago
Franciscan Health Dyer , Dyer Q4121 $39 [source] 4 years ago
Franciscan Health Munster , Munster Q4121 $49 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood Q4121 $101 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis Q4121 $101 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson Q4121 $101 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel Q4121 $101 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester Q4121 $101 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford Q4121 $101 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem Q4121 $101 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport Q4121 $101 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville Q4121 $101 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon Q4121 $101 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis Q4121 $101 [source] 4 years ago
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville Q4121 $101 [source] 4 years ago
Franciscan Health Lafayette East , Lafayette Q4121 $208 [source] 4 years ago
Franciscan Health Rensselaer , Rensselaer Q4121 $249 [source] 4 years ago
Franciscan Health Crawfordsville , Crawfordsville Q4121 $342 [source] 4 years ago
Terre Haute Regional Hospital 3901 S 7Th St, Terre Haute Q4121 $5,530 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil Q4121 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, Q4121 $6,012 [source] 4 years ago

ℹ️ About This Data

The prices shown are from hospital chargemaster files, which represent the list prices hospitals charge before insurance negotiations or discounts. Your actual cost may be different depending on your insurance coverage, deductibles, and negotiated rates. Always check with your insurance provider and hospital for accurate cost estimates.


ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR Β§180.