Code: Q4114

Description:
Description: Integra flowable wound matrix, injectable, 1 cc
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
INTEGRA FLW WM 1CC
SEALR WOUND MATRIX FLO 3 ML FWD301
INTEGRA FLOWABLE WOUND MATRIX, PER 1ML, 3 ML
INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC
Related codes:
Code: Q4110
PRIMATRIX 64 SQCM
Code: Q4111
GAMMAGRAFT 12 SQCM
Code: Q4112
CYMETRA ALLOGRFT 1 CC
Code: Q4113
GRAFTJACKET XPRESS 1CC
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
Texas Health Huguley 11801 South Fwy, Burleson Q4114 $87 [source] 4 years ago
Dell Seton Medical Center At The University Of Texas 1500 Red River St, Austin Q4114 $1,822 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison Q4114 $1,988 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway Q4114 $3,325 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor Q4114 $4,336 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls Q4114 $4,336 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy Q4114 $4,336 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station Q4114 $4,625 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q4114 $4,733 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q4114 $4,733 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda Q4114 $4,914 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham Q4114 $4,914 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin Q4114 $4,914 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville Q4114 $4,914 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco Q4114 $5,781 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth Q4114 $5,781 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano Q4114 $5,781 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas Q4114 $5,781 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney Q4114 $5,781 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving Q4114 $5,781 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey Q4114 $5,781 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett Q4114 $5,781 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie Q4114 $5,781 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine Q4114 $6,070 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano Q4114 $6,744 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton Q4114 $6,744 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano Q4114 $6,744 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple Q4114 $7,226 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi Q4114 $26,136 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford Q4114 $54,890 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington Q4114 $70,483 [source] 4 years ago
Medical City Healthcare 13155 Noel Rd. Suite 200, Dallas Q4114 $75,317 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth Q4114 $75,317 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills Q4114 $76,832 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth Q4114 $82,926 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco Q4114 $83,647 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving Q4114 $91,563 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth Q4114 $123,010 [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.