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)
Florida
Hospital Address Code Price Last Updated
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach Q4195 $169 [source] 4 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale Q4195 $214 [source] 4 years ago
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee Q4195 $334 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q4195 $436 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q4195 $436 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q4195 $449 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q4195 $449 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach Q4195 $4,365 [source] 4 years ago
Highlands Regional Medical Center 3600 South Highlands Ave, Sebring Q4195 $6,300 [source] 4 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee Q4195 $9,762 [source] 4 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center Q4195 $9,762 [source] 4 years ago
Palms Of Pasadena Hospital 1501 Pasadena Ave, Saint Petersburg Q4195 $9,762 [source] 4 years ago
Raulerson Hospital 1796 Hwy 441 North, Okeechobee Q4195 $18,025 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q4195 $21,086 [source] 4 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa Q4195 $21,086 [source] 4 years ago
Citrus Memorial Hospital 502 W. Highland Blvd, Inverness Q4195 $21,086 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte Q4195 $21,086 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo Q4195 $21,086 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson Q4195 $21,086 [source] 4 years ago
Lawnwood Medical Center & Heart Institute 1700 S 23Rd St, Fort Pierce Q4195 $35,910 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami Q4195 $38,934 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q4195 $38,934 [source] 4 years ago
St. Lucie Medical Center 1800 Se Tiffany Ave, Port Saint Lucie Q4195 $38,934 [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.