📋 Medical Procedure Code

Q4125

Arthroflex, per square centimeter
Other Descriptions:
ARTHROFLEX 28 SQ CM 1THK
ARTHROFLEX 28 SQ CM 2THK
ARTHROFLEX 45 SQ CM
ARTHROFLEX 40X70MM 3THK
ARTHROFLEX 1 SQ CM
GRAFT ARTHROFLEX FLEXIGRAFT DERMIS 35X35X1.26-1.75MM SOFT TISSUE PATCH
GRAFT ARTHROFLEX FLEXIGRAFT DERMIS 40X70X1.26-1.75MM SOFT TISSUE PATCH
GRAFT DERMIS 70X40X2MM SOFT TISSUE DECELLULARIZED LATEX FREE
GRAFT ARTHROFLEX THK.76-1.25MM DECELLULARIZED DERMIS 70X40MM SOFT TISSUE
Related codes:
Code: Q4120
Description: Matristem burn matrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4121
Description: Theraskin, 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: 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 Texas

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

🗺️ Hospital Locations Map

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

📊 Hospital Prices in Texas

State Average: $12,298

Hospital Address Code Price Last Updated
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving Q4125 $141 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas Q4125 $141 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey Q4125 $141 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano Q4125 $141 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth Q4125 $141 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie Q4125 $141 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco Q4125 $141 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett Q4125 $141 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney Q4125 $141 [source] 4 years ago
Andrews Women's Hospital At Baylor Scott & White - Fort Worth 1400 8Th Ave, Fort Worth Q4125 $141 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine Q4125 $148 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton Q4125 $164 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano Q4125 $164 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano Q4125 $164 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy Q4125 $359 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor Q4125 $359 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls Q4125 $359 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station Q4125 $383 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin Q4125 $407 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda Q4125 $407 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville Q4125 $407 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham Q4125 $407 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple Q4125 $599 [source] 4 years ago
Northeast Baptist Hospital 8811 Village Dr., San Antonio Q4125 $874 [source] 4 years ago
Baptist Medical Center 111 Dallas St., San Antonio Q4125 $874 [source] 4 years ago
Mission Trail Baptist Hospital 3333 Research Plaza, San Antonio Q4125 $874 [source] 4 years ago
St. Luke's Baptist Hospital 7930 Floyd Curl Dr., San Antonio Q4125 $874 [source] 4 years ago
North Central Baptist Hospital 520 Madison Oak Dr., San Antonio Q4125 $874 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass Q4125 $912 [source] 4 years ago
Hca Houston Healthcare Pearland 11100 Shadow Creek Pkwy, Pearland Q4125 $1,095 [source] 2 days ago
Hca Houston Healthcare Clear Lake 500 Medical Center Blvd, Webster Q4125 $1,352 [source] 2 days ago
Texoma Medical Center 5016 South Us Highway 75, Denison Q4125 $1,723 [source] 4 years ago
Methodist Specialty And Transplant Hospital 8026 Floyd Curl, San Antonio Q4125 $1,826 [source] 2 days ago
Hca Houston Healthcare Conroe 504 Medical Center Blvd, Conroe Q4125 $1,913 [source] 2 days ago
Methodist Hospital Hill Country 1020 S Highway 16, Fredericksburg Q4125 $2,092 [source] 2 days ago
Metropolitan Methodist Hospital 1310 Mccullough Ave, San Antonio Q4125 $2,092 [source] 2 days ago
Methodist Hospital 1441 N Beckley Ave, Dallas Q4125 $2,092 [source] 2 days ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas Q4125 $2,341 [source] 4 years ago
Medical City Weatherford 713 East Anderson Street, Weatherford Q4125 $2,407 [source] 2 days ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q4125 $2,459 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q4125 $2,459 [source] 4 years ago
South Texas Health System Edinburg 1102 W. Trenton Road, Edinburg Q4125 $2,459 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q4125 $2,459 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo Q4125 $2,848 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington Q4125 $3,018 [source] 2 days ago
Northeast Methodist Hospital 12412 Judson Rd, San Antonio Q4125 $3,347 [source] 2 days ago
Medical City Plano 3901 W 15Th St, Plano Q4125 $4,096 [source] 2 days ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q4125 $4,300 [source] 4 years ago
Hca Houston Healthcare Kingwood 22999 Highway 59 N, Humble Q4125 $4,493 [source] 2 days ago
Medical City Lewisville 500 W Main St, Lewisville Q4125 $5,645 [source] 2 days ago
Hca Houston Healthcare Northwest 710 Cypress Creek Pkwy, Houston Q4125 $6,795 [source] 2 days ago
Hca Houston Healthcare North Cypress 21216 Northwest Fwy, Cypress Q4125 $7,750 [source] 2 days ago
Hca Houston Healthcare Tomball 605 Holderrieth Blvd, Tomball Q4125 $10,372 [source] 2 days ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston Q4125 $12,493 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi Q4125 $13,276 [source] 4 years ago
Medical City Healthcare 13155 Noel Rd. Suite 200, Dallas Q4125 $38,318 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco Q4125 $45,696 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville Q4125 $45,987 [source] 4 years ago
St. David's Healthcare , Round Rock Q4125 $56,980 [source] 4 years ago
St. David's Healthcare , Round Rock Q4125 $56,980 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth Q4125 $62,786 [source] 2 days ago
Medical City Denton 3535 S I-35 E, Corinth Q4125 $69,526 [source] 2 days ago
Medical City Decatur 609 Medical Center Dr, Decatur Q4125 $73,362 [source] 2 days ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving Q4125 $78,510 [source] 2 days ago
Medical City Mckinney 4500 Medical Center Dr, Mckinney Q4125 $83,300 [source] 2 days 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 §180.