Code: Q4116

Description:
Description: Alloderm, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
ALLODERM 185 SQCM
ALLODERM 185 SQ CM
ALLODERM 164 SQ CM
ALLODERM 240 SQ CM
ALLODERM 164 SQCM
ALLODERM SLCT 132 SQ CM
ALLODERM 327 SQ CM
ALLODERM SLCTRST 400SQCM
ALLODRM RST LPRF 327SQCM
Related codes:
Code: Q4110
PRIMATRIX 64 SQCM
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: Q4117
HYALOMATRIX 100SQCM
Code: Q4118
MATRISTEM MICRO 1MG 100
Code: Q4119
California
Hospital Address Code Price Last Updated
Sacramento Medical Center 2025 Morse Ave, Sacramento Q4116 $89 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara Q4116 $89 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento Q4116 $89 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville Q4116 $89 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto Q4116 $89 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond Q4116 $89 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon Q4116 $89 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City Q4116 $89 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo Q4116 $89 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch Q4116 $89 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek Q4116 $89 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills Q4116 $89 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael Q4116 $89 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco Q4116 $89 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco Q4116 $89 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno Q4116 $89 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville Q4116 $89 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose Q4116 $89 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro Q4116 $89 [source] 4 years ago
El Camino Hospital 2500 Grant Rd, Mountain View Q4116 $141 [source] 4 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills Q4116 $480 [source] 4 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose Q4116 $775 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside Q4116 $800 [source] 4 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks Q4116 $887 [source] 4 years ago
Corona Regional Medical Center 800 S. Main Street, Corona Q4116 $1,546 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar Q4116 $3,046 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta Q4116 $3,046 [source] 4 years ago
Doctors Hospital Of Manteca 1205 East North St., Manteca Q4116 $4,138 [source] 4 years ago
Sutter Santa Rosa Regional Hospital 30 Mark West Springs Rd, Santa Rosa Q4116 $4,159 [source] 4 years ago
Sutter Maternity And Surgery Center Of Santa Cruz 2900 Chanticleer Avenue, Santa Cruz Q4116 $4,661 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale Q4116 $5,620 [source] 4 years ago
California Pacific Medical Center - Mission Bernal Campus 3555 Cesar Chavez, San Francisco Q4116 $7,079 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula Q4116 $9,806 [source] 4 years ago
California Pacific Medical Center - Davies Campus 45 Castro St, San Francisco Q4116 $12,362 [source] 4 years ago
California Pacific Medical Center - Van Ness Campus 1101 Van Ness Ave, San Francisco Q4116 $16,954 [source] 4 years ago
Novato Community Hospital 180 Rowland Way, Novato Q4116 $17,835 [source] 4 years ago
Stanislaus Surgical Hospital 1421 Oakdale Rd, Modesto Q4116 $19,262 [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.