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 Michigan

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

πŸ—ΊοΈ Hospital Locations Map

πŸ’‘ Tip: Click on any marker to see hospital details. Colors indicate relative pricing - red shows higher prices, green shows lower prices.

πŸ“Š Hospital Prices in Michigan

State Average: $601

Hospital Address Code Price Last Updated
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe Q4121 $35 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy Q4121 $35 [source] 4 years ago
William Beaumont Hospital 5450 Fort St, Trenton Q4121 $35 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn Q4121 $36 [source] 4 years ago
Beaumont Wayne 33155 Annapolis St, Wayne Q4121 $36 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren Q4121 $48 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester Q4121 $56 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield Q4121 $84 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren Q4121 $95 [source] 4 years ago
Beaumont Medical Group- Specialty Services 3601 W 13 Mile Rd, Royal Oak Q4121 $98 [source] 4 years ago
William Beauont Hospital 3601 W 13 Mile Rd, Royal Oak Q4121 $98 [source] 4 years ago
Willliam Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak Q4121 $98 [source] 4 years ago
Beaumont Medical Group-Hospital -Based Services 3601 W 13 Mile Rd, Royal Oak Q4121 $98 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak Q4121 $98 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak Q4121 $98 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak Q4121 $98 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak Q4121 $98 [source] 4 years ago
Beaumont Health System 3601 W 13 Mile Rd, Royal Oak Q4121 $98 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy Q4121 $98 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak Q4121 $98 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy Q4121 $98 [source] 4 years ago
Beaumont Health 3601 W 13 Mile Rd, Royal Oak Q4121 $98 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak Q4121 $98 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy Q4121 $98 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak Q4121 $98 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak Q4121 $98 [source] 4 years ago
William Beaumont Hosptial 3601 W 13 Mile Rd, Royal Oak Q4121 $98 [source] 4 years ago
William Beaumont Hospitals 3601 W 13 Mile Rd, Royal Oak Q4121 $98 [source] 4 years ago
Beaumont Medical Group-Primary Care Services 3601 W 13 Mile Rd, Royal Oak Q4121 $98 [source] 4 years ago
Beaumont Weight Control Center 4949 Coolidge Hwy, Royal Oak Q4121 $98 [source] 4 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing Q4121 $107 [source] 4 years ago
Midmichigan Medical Center Gladwin , Gladwin Q4121 $123 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant Q4121 $150 [source] 4 years ago
Mclaren Port Huron 1221 Pine Grove Ave, Port Huron Q4121 $169 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens Q4121 $507 [source] 4 years ago
Midmichigan Medical Center Midland , Midland Q4121 $1,668 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak Q4121 $1,793 [source] 4 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor Q4121 $1,793 [source] 4 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer Q4121 $1,796 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint Q4121 $2,031 [source] 4 years ago
Beaumont - Farmington Hills 28050 Grand River Ave, Farmington Q4121 $2,845 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington Q4121 $5,178 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington Q4121 $5,178 [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.