Code: Q4118

Description:
Description: Matristem micromatrix, 1 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
MATRISTEM MICRO 1MG 500
MATRISTEM MICROMATRX 1MG
WOUND SHEET MATRI 3X7
MATRISTEM MICRO 1MG 200
MATRISTEM MICRO 1MG 1000
MATRISTEM MICRO 1 MG
MATRISTEM MICRO 1MG 30MG
MATRISTEM MCRMATRX 100MG
GRAFT MATRISTEM MICROMATRIX PORCINE URINARY BLADDER EXTRACELLULAR MATRIX
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: Q4116
ALLODERM 1SQCM
Code: Q4117
HYALOMATRIX 100SQCM
Code: Q4119
Florida
Hospital Address Code Price Last Updated
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q4118 $12 [source] 4 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park Q4118 $20 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q4118 $21 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q4118 $21 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q4118 $21 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q4118 $21 [source] 4 years ago
West Florida Hospital 8383 N Davis Hwy, Pensacola Q4118 $29 [source] 4 years ago
Ocala Health 1431 Sw 1St Ave, Ocala Q4118 $31 [source] 4 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville Q4118 $77 [source] 4 years ago
Lawnwood Medical Center & Heart Institute 1700 S 23Rd St, Fort Pierce Q4118 $92 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills Q4118 $162 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala Q4118 $162 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa Q4118 $162 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q4118 $162 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland Q4118 $162 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q4118 $162 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q4118 $162 [source] 4 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales Q4118 $162 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q4118 $162 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q4118 $162 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q4118 $795 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City Q4118 $1,024 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills Q4118 $1,129 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q4118 $1,441 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q4118 $1,441 [source] 4 years ago
Plantation General Hospital 401 Nw 42 Ave, Fort Lauderdale Q4118 $1,667 [source] 4 years ago
Adventhealth Heart Of Florida 10987 Sheldon Rd Ste 100, Tampa Q4118 $1,784 [source] 4 years ago
Poinciana Medical Center 325 Cypress Pkwy, Kissimmee Q4118 $2,009 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach Q4118 $4,038 [source] 4 years ago
Lake City Medical Center 340 Nw Commerce Dr, Lake City Q4118 $4,078 [source] 4 years ago
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale Q4118 $5,022 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton Q4118 $6,009 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton Q4118 $6,009 [source] 4 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale Q4118 $6,642 [source] 4 years ago
Putnam Community Medical Center 611 Zeagler Dr, Palatka Q4118 $7,074 [source] 4 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale Q4118 $7,380 [source] 4 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon Q4118 $8,086 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg Q4118 $8,086 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo Q4118 $8,086 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte Q4118 $8,086 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson Q4118 $8,086 [source] 4 years ago
Palms Of Pasadena Hospital 1501 Pasadena Ave, Saint Petersburg Q4118 $8,086 [source] 4 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg Q4118 $8,086 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville Q4118 $8,086 [source] 4 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa Q4118 $8,189 [source] 4 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center Q4118 $8,189 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton Q4118 $8,189 [source] 4 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee Q4118 $8,340 [source] 4 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville Q4118 $8,411 [source] 4 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth Q4118 $8,873 [source] 4 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami Q4118 $9,215 [source] 4 years ago
Raulerson Hospital 1796 Hwy 441 North, Okeechobee Q4118 $9,535 [source] 4 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee Q4118 $9,671 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami Q4118 $9,918 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q4118 $10,236 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota Q4118 $10,236 [source] 4 years ago
Central Florida Regional Hospital 1401 West Seminole Blvd, Sanford Q4118 $10,245 [source] 4 years ago
St. Lucie Medical Center 1800 Se Tiffany Ave, Port Saint Lucie Q4118 $11,561 [source] 4 years ago
Jfk Medical Center - North Campus 2201 45Th St, West Palm Beach Q4118 $15,120 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q4118 $15,120 [source] 4 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach Q4118 $26,641 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q4118 $31,573 [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.