Code: Q4121

Description:
Description: Theraskin, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
THERASKIN 13SQCM
THERASKIN 39SQCM
THERASKIN 18SQCM
THERASKIN 13 SQ CM
THERASKIN LG 2X3IN 102TSL
GRAFT THERASKIN 13 SQ CM (101TSS)
GRAFT THERASKIN 39 SQ CM (102TSL)
GRAFT SKIN 2X1IN THERASKIN CRYOPRESERVE MESH ALLOGRAFT
GRAFT SKIN 3X2IN THERASKIN 1.5:1 LARGE MESH ALLOGRAFT CRYOPRESERVE
Related codes:
Code: Q4120
Code: Q4122
DERMACELLAWMPORO 1SQCM
Code: Q4123
ALLOSKIN RT 1SQCM
Code: Q4124
OASIS TRI MATRIX 35SQCM
Code: Q4125
ARTHROFLX 12SQCM .5M THK
Code: Q4126
DERMASPAN 25 SQ CM
Code: Q4127
Description: Talymed, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4128
FLEXALLOPMATR HD 1SQCM
Texas
Hospital Address Code Price Last Updated
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor Q4121 $32 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls Q4121 $32 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy Q4121 $32 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station Q4121 $34 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin Q4121 $36 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda Q4121 $36 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham Q4121 $36 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville Q4121 $36 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple Q4121 $54 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving Q4121 $65 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano Q4121 $65 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas Q4121 $65 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey Q4121 $65 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth Q4121 $65 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett Q4121 $65 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie Q4121 $65 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney Q4121 $65 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco Q4121 $65 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine Q4121 $69 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton Q4121 $76 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano Q4121 $76 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano Q4121 $76 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q4121 $101 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway Q4121 $108 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston Q4121 $154 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q4121 $182 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving Q4121 $627 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth Q4121 $792 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q4121 $876 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q4121 $969 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford Q4121 $1,018 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison Q4121 $1,076 [source] 4 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen Q4121 $1,268 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass Q4121 $1,812 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo Q4121 $1,831 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q4121 $1,842 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q4121 $1,842 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q4121 $1,842 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington Q4121 $1,896 [source] 4 years ago
The Hospitals Of Providence East Campus 3280 Joe Battle Blvd., El Paso Q4121 $2,106 [source] 4 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine Q4121 $5,444 [source] 4 years ago
Medical City Healthcare 13155 Noel Rd. Suite 200, Dallas Q4121 $17,356 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth Q4121 $17,356 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills Q4121 $21,798 [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.