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
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway Q4110 $113 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q4110 $135 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q4110 $135 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q4110 $217 [source] 4 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine Q4110 $273 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q4110 $1,116 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q4110 $1,116 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q4110 $1,116 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q4110 $1,703 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo Q4110 $6,867 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass Q4110 $8,061 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston Q4110 $13,433 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving Q4110 $23,378 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco Q4110 $23,501 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth Q4110 $29,195 [source] 4 years ago
Medical City Healthcare 13155 Noel Rd. Suite 200, Dallas Q4110 $29,195 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills Q4110 $29,465 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington Q4110 $31,418 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth Q4110 $31,772 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth Q4110 $39,262 [source] 4 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen Q4110 $40,185 [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 §180.