Code: Q4196

Description:
Description: Puraply am, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
PURAPLY AM 8SQCM
PURAPLY AM 1SQCM
PURAPLY AM DISK 1.6SQCM
PURAPLY AM 12SQCM
Puraply 2x2 Per Sq Cm
Puraply 5x5 Per Sq Cm
Puraply 6x9 Per Sq Cm
Puraply Am 8x16 Per Sq Cm
Puraply 2x4 Per Sq Cm
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: Q4195
PURAPLY 1SQCM
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
Twin Cities Community Hospital 1100 Las Tablas Rd., Templeton Q4196 $125 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon Q4196 $207 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco Q4196 $207 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills Q4196 $207 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento Q4196 $207 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch Q4196 $207 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto Q4196 $207 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville Q4196 $207 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro Q4196 $207 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek Q4196 $207 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara Q4196 $207 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento Q4196 $207 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond Q4196 $207 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo Q4196 $207 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose Q4196 $207 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville Q4196 $207 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno Q4196 $207 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco Q4196 $207 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael Q4196 $207 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City Q4196 $207 [source] 4 years ago
Fountain Valley Regional Hospital 17100 Euclid At Warner, Fountain Valley Q4196 $381 [source] 4 years ago
Los Alamitos Medical Center 3751 Katella Ave., Los Alamitos Q4196 $457 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside Q4196 $1,377 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta Q4196 $3,070 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar Q4196 $3,070 [source] 4 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks Q4196 $3,231 [source] 4 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose Q4196 $3,394 [source] 4 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills Q4196 $3,716 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale Q4196 $3,759 [source] 4 years ago
Corona Regional Medical Center 800 S. Main Street, Corona Q4196 $4,027 [source] 4 years ago
Sutter Delta Medical Center 3901 Lone Tree Way, Antioch Q4196 $8,120 [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.