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
Florida
Hospital Address Code Price Last Updated
West Florida Hospital 8383 N Davis Hwy, Pensacola Q4110 $113 [source] 4 years ago
Gulf Coast Regional Medical Center 449 W 23Rd St, Panama City Q4110 $119 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City Q4110 $135 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills Q4110 $135 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q4110 $135 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala Q4110 $135 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa Q4110 $135 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills Q4110 $135 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q4110 $135 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland Q4110 $135 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q4110 $135 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q4110 $135 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q4110 $135 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q4110 $135 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q4110 $135 [source] 4 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales Q4110 $135 [source] 4 years ago
Fort Walton Beach Medical Center 1000 Mar Walt Dr, Fort Walton Beach Q4110 $150 [source] 4 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville Q4110 $208 [source] 4 years ago
Ocala Health 1431 Sw 1St Ave, Ocala Q4110 $325 [source] 4 years ago
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee Q4110 $703 [source] 4 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville Q4110 $1,100 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q4110 $1,199 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach Q4110 $1,433 [source] 4 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center Q4110 $4,640 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte Q4110 $4,640 [source] 4 years ago
Raulerson Hospital 1796 Hwy 441 North, Okeechobee Q4110 $4,704 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton Q4110 $5,645 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton Q4110 $5,645 [source] 4 years ago
Highlands Regional Medical Center 3600 South Highlands Ave, Sebring Q4110 $6,434 [source] 4 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami Q4110 $6,853 [source] 4 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg Q4110 $8,249 [source] 4 years ago
St. Lucie Medical Center 1800 Se Tiffany Ave, Port Saint Lucie Q4110 $8,568 [source] 4 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee Q4110 $12,786 [source] 4 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon Q4110 $12,993 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q4110 $17,481 [source] 4 years ago
Plantation General Hospital 401 Nw 42 Ave, Fort Lauderdale Q4110 $25,536 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton Q4110 $25,874 [source] 4 years ago
Jfk Medical Center - North Campus 2201 45Th St, West Palm Beach Q4110 $28,224 [source] 4 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth Q4110 $28,560 [source] 4 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale Q4110 $31,472 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q4110 $31,783 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q4110 $31,783 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q4110 $31,783 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q4110 $31,783 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q4110 $31,783 [source] 4 years ago
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale Q4110 $35,412 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson Q4110 $39,667 [source] 4 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach Q4110 $45,500 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami Q4110 $65,361 [source] 4 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee Q4110 $105,000 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q4110 $130,734 [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.