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
Texas
Hospital Address Code Price Last Updated
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls Q4118 $6 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy Q4118 $6 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor Q4118 $6 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station Q4118 $7 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway Q4118 $7 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville Q4118 $7 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham Q4118 $7 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda Q4118 $7 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin Q4118 $7 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple Q4118 $11 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q4118 $11 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q4118 $11 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q4118 $14 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills Q4118 $56 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville Q4118 $59 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison Q4118 $100 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q4118 $118 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass Q4118 $170 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth Q4118 $2,071 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano Q4118 $2,071 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas Q4118 $2,071 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco Q4118 $2,071 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey Q4118 $2,071 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney Q4118 $2,071 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving Q4118 $2,071 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie Q4118 $2,071 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett Q4118 $2,071 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine Q4118 $2,174 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano Q4118 $2,416 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton Q4118 $2,416 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano Q4118 $2,416 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo Q4118 $3,833 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q4118 $7,384 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q4118 $7,384 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q4118 $7,384 [source] 4 years ago
Woman's Hospital Of Texas 7600 Fannin, Houston Q4118 $7,793 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston Q4118 $12,699 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford Q4118 $12,818 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi Q4118 $13,591 [source] 4 years ago
Valley Regional Medical Center 100-A Alton Gloor Blvd, Brownsville Q4118 $19,415 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth Q4118 $21,091 [source] 4 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen Q4118 $21,727 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco Q4118 $22,373 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving Q4118 $23,825 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth Q4118 $25,546 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth Q4118 $29,714 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington Q4118 $30,880 [source] 4 years ago
St. David's Healthcare , Round Rock Q4118 $31,968 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas Q4118 $34,342 [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.