Code: Q4184

Description:
Description: Cellesta or cellesta duo, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
Related codes:
Code: Q4180
REVITA 1SQCM
Code: Q4181
AMNIOWOUND 35 SQCM
Code: Q4182
Description: Transcyte, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4183
Description: Surgigraft, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4185
Description: Cellesta flowable amnion (25 mg per cc)
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4186
EPIFIX 1SQCM
Code: Q4187
EPICORD 1SQCM
Code: Q4188
Description: Amnioarmor, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4189
Description: Artacent ac, 1 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
California
Hospital Address Code Price Last Updated
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento Q4184 $30 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco Q4184 $30 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills Q4184 $30 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento Q4184 $30 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch Q4184 $30 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto Q4184 $30 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville Q4184 $30 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro Q4184 $30 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek Q4184 $30 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara Q4184 $30 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose Q4184 $30 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond Q4184 $30 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon Q4184 $30 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City Q4184 $30 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo Q4184 $30 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael Q4184 $30 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco Q4184 $30 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno Q4184 $30 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville Q4184 $30 [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.