📋 Medical Procedure Code

Q4126

Memoderm, dermaspan, tranzgraft or integuply, per square centimeter
Other Descriptions:
MEMODERM 25 SQ CM
MEMODERM 32 SQ CM
MEMODERM 50 SQ CM
DERMASPAN 25SQCM
MEMODDERMTRZINT 1SQCM
MEMODERM 122.5 SQ CM
DERMASPAN 4X8CM 0.70MM
DERMASPAN 0.9-1.99 5X10CM
DERMASPAN 0.9-1.99 6X12CM
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: Q4125
Description: Arthroflex, 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: $19,814

Hospital Address Code Price Last Updated
Methodist Hospital 1441 N Beckley Ave, Dallas Q4126 $1,679 [source] 2 days ago
Medical City Weatherford 713 East Anderson Street, Weatherford Q4126 $1,761 [source] 2 days ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q4126 $1,999 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth Q4126 $2,052 [source] 2 days ago
Medical City Plano 3901 W 15Th St, Plano Q4126 $2,139 [source] 2 days ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo Q4126 $2,357 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q4126 $2,375 [source] 4 years ago
South Texas Health System Edinburg 1102 W. Trenton Road, Edinburg Q4126 $2,375 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q4126 $2,375 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q4126 $2,375 [source] 4 years ago
Medical City Mckinney 4500 Medical Center Dr, Mckinney Q4126 $2,941 [source] 2 days ago
Texoma Medical Center 5016 South Us Highway 75, Denison Q4126 $3,224 [source] 4 years ago
Medical City Decatur 609 Medical Center Dr, Decatur Q4126 $3,252 [source] 2 days ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills Q4126 $3,404 [source] 2 days ago
Hca Houston Healthcare North Cypress 21216 Northwest Fwy, Cypress Q4126 $3,904 [source] 2 days ago
Hca Houston Healthcare Conroe 504 Medical Center Blvd, Conroe Q4126 $5,052 [source] 2 days ago
Hca Houston Healthcare Kingwood 22999 Highway 59 N, Humble Q4126 $5,698 [source] 2 days ago
Hca Houston Healthcare Northwest 710 Cypress Creek Pkwy, Houston Q4126 $7,051 [source] 2 days ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen Q4126 $19,555 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco Q4126 $29,376 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q4126 $40,728 [source] 4 years ago
Medical City Healthcare 13155 Noel Rd. Suite 200, Dallas Q4126 $47,495 [source] 4 years ago
Medical City Denton 3535 S I-35 E, Corinth Q4126 $49,077 [source] 2 days ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth Q4126 $51,958 [source] 2 days ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving Q4126 $53,020 [source] 2 days ago
Medical City Arlington 3301 Matlock Rd, Arlington Q4126 $168,000 [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.