Code: Q4195

Description:
Description: Puraply, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
PURAPLY 54SQCM
PURAPLY PER SQ CM
PURAPLY SKIN GRAFT SUBSTITUTE SQ CM JW
PURAPLY AM 6X9 54 SQ CM
PURAPLY AM 2X4 8SQ CM
PURAPLY AM 2X2 45 SQ CM
PURAPLY AM 5X5 25 SQ CM
HC PURAPY COLLAGEN PER SQ CM
PURAPLY 1SQCMJW
Related codes:
Code: Q4190
Description: Artacent ac, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4191
Description: Restorigin, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4192
Description: Restorigin, 1 cc
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4193
Description: Coll-e-derm, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4194
Description: Novachor, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4196
PURAPLY AM 25SQCM
Code: Q4197
Description: Puraply xt, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4198
Description: Genesis amniotic membrane, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
California
Hospital Address Code Price Last Updated
San Jose Medical Center 250 Hospital Pkwy, San Jose Q4195 $214 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco Q4195 $214 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills Q4195 $214 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento Q4195 $214 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch Q4195 $214 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto Q4195 $214 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville Q4195 $214 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro Q4195 $214 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek Q4195 $214 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara Q4195 $214 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento Q4195 $214 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond Q4195 $214 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon Q4195 $214 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City Q4195 $214 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo Q4195 $214 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael Q4195 $214 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco Q4195 $214 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno Q4195 $214 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville Q4195 $214 [source] 4 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills Q4195 $856 [source] 4 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose Q4195 $2,362 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar Q4195 $3,068 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta Q4195 $3,068 [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.