Code: Q4112

Description:
Description: Cymetra, injectable, 1 cc
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
CYMETRA INJ 1CC
MATRIX CYMETRA MAT ACELLULAR DERMIS TISSUE INJECTABLE 2ML
TISS ALLDERM THIN 4X7 SQ CM 102031
CYMETRA INJECTABLE 1 CC
SYRINGE CYMETRA 2CC
TISSUE CYMETRA
Related codes:
Code: Q4110
PRIMATRIX 64 SQCM
Code: Q4111
GAMMAGRAFT 12 SQCM
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
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale Q4112 $542 [source] 4 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale Q4112 $654 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q4112 $758 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton Q4112 $1,099 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte Q4112 $1,232 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville Q4112 $1,232 [source] 4 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon Q4112 $1,232 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota Q4112 $1,232 [source] 4 years ago
Poinciana Medical Center 325 Cypress Pkwy, Kissimmee Q4112 $1,232 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q4112 $1,232 [source] 4 years ago
Englewood Community Hospital 700 Medical Blvd, Englewood Q4112 $1,232 [source] 4 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center Q4112 $1,232 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg Q4112 $1,232 [source] 4 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg Q4112 $1,232 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo Q4112 $1,232 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q4112 $1,888 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q4112 $2,019 [source] 4 years ago
Raulerson Hospital 1796 Hwy 441 North, Okeechobee Q4112 $2,164 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami Q4112 $2,271 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q4112 $2,616 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q4112 $2,616 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa Q4112 $2,616 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q4112 $2,616 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills Q4112 $2,616 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q4112 $2,616 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills Q4112 $2,616 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q4112 $2,616 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q4112 $2,616 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland Q4112 $2,616 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q4112 $2,616 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City Q4112 $2,616 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q4112 $2,616 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q4112 $2,616 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q4112 $2,616 [source] 4 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales Q4112 $2,616 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q4112 $2,616 [source] 4 years ago
Lawnwood Medical Center & Heart Institute 1700 S 23Rd St, Fort Pierce Q4112 $2,852 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q4112 $3,261 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q4112 $3,323 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala Q4112 $3,323 [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.