Code: Q4110

Description:
Description: Primatrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
PRIMATRIX 16 SQCM
PRIMATRIX 36 SQCM
PRIMATRIX 96 SQCM
PRIMATRIX 96SQCM
PRIMATRIX 1SQCM
PRIMATRIX 120 SQCM
GRAFT PRIMATRIX MESHED 10X25 607-005-125
PRIMATRIX AG 2:1 MESHED, PER SQ CM, 6 X 6CM
PRIMATRIX AG MESHED, PER SQ CM, 10 X 25CM
Related codes:
Code: Q4111
GAMMAGRAFT 12 SQCM
Code: Q4112
CYMETRA ALLOGRFT 1 CC
Code: Q4113
GRAFTJACKET XPRESS 1CC
Code: Q4114
INTEGRA WOUND MATRX 1 CC
Code: Q4115
GRAFT SOFT TISSUE FROZEN CADAVER
Code: Q4116
ALLODERM 1SQCM
Code: Q4117
HYALOMATRIX 100SQCM
Code: Q4118
MATRISTEM MICRO 1MG 100
Code: Q4119
California
Hospital Address Code Price Last Updated
Sutter Auburn Faith Hospital 11815 Education St, Auburn Q4110 $65 [source] 4 years ago
Kentfield Hospital 1125 Sir Francis Drake Blvd., Greenbrae Q4110 $204 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon Q4110 $679 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco Q4110 $679 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills Q4110 $679 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento Q4110 $679 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch Q4110 $679 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto Q4110 $679 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville Q4110 $679 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro Q4110 $679 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek Q4110 $679 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara Q4110 $679 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento Q4110 $679 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond Q4110 $679 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City Q4110 $679 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo Q4110 $679 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael Q4110 $679 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco Q4110 $679 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno Q4110 $679 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville Q4110 $679 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose Q4110 $679 [source] 4 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks Q4110 $849 [source] 4 years ago
Corona Regional Medical Center 800 S. Main Street, Corona Q4110 $1,012 [source] 4 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville Q4110 $1,896 [source] 4 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills Q4110 $2,160 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar Q4110 $3,043 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta Q4110 $3,043 [source] 4 years ago

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 ยง180.