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)
Florida
Hospital Address Code Price Last Updated
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach Q4196 $167 [source] 4 years ago
Hialeah Hospital 651 East 25Th St., Hialeah Q4196 $342 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q4196 $356 [source] 4 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville Q4196 $392 [source] 4 years ago
Florida Medical Center, A Campus Of North Shore 5000 West Oakland Park Blvd., Fort Lauderdale Q4196 $436 [source] 4 years ago
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee Q4196 $608 [source] 4 years ago
Gulf Coast Regional Medical Center 449 W 23Rd St, Panama City Q4196 $657 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q4196 $720 [source] 4 years ago
Ocala Health 1431 Sw 1St Ave, Ocala Q4196 $1,011 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills Q4196 $1,087 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q4196 $1,092 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q4196 $1,092 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q4196 $1,302 [source] 4 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville Q4196 $1,313 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg Q4196 $3,412 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach Q4196 $5,220 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q4196 $6,844 [source] 4 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa Q4196 $9,857 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota Q4196 $9,857 [source] 4 years ago
Englewood Community Hospital 700 Medical Blvd, Englewood Q4196 $9,857 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q4196 $12,211 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton Q4196 $12,646 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton Q4196 $12,646 [source] 4 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami Q4196 $18,900 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q4196 $19,448 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson Q4196 $19,448 [source] 4 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee Q4196 $19,448 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte Q4196 $19,448 [source] 4 years ago
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale Q4196 $19,600 [source] 4 years ago
Raulerson Hospital 1796 Hwy 441 North, Okeechobee Q4196 $19,950 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami Q4196 $19,950 [source] 4 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale Q4196 $19,950 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q4196 $22,202 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q4196 $22,202 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q4196 $22,202 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q4196 $22,202 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q4196 $22,202 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q4196 $22,202 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo Q4196 $22,928 [source] 4 years ago
Palms Of Pasadena Hospital 1501 Pasadena Ave, Saint Petersburg Q4196 $22,928 [source] 4 years ago
Citrus Memorial Hospital 502 W. Highland Blvd, Inverness Q4196 $22,928 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q4196 $41,580 [source] 4 years ago
Highlands Regional Medical Center 3600 South Highlands Ave, Sebring Q4196 $42,336 [source] 4 years ago
St. Lucie Medical Center 1800 Se Tiffany Ave, Port Saint Lucie Q4196 $42,336 [source] 4 years ago
Lawnwood Medical Center & Heart Institute 1700 S 23Rd St, Fort Pierce Q4196 $98,560 [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.