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)
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway Q4196 $140 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q4196 $159 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q4196 $313 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q4196 $313 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor Q4196 $361 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls Q4196 $361 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy Q4196 $361 [source] 4 years ago
Valley Baptist Medical Center 2101 Pease Street, Harlingen Q4196 $381 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station Q4196 $385 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville Q4196 $409 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham Q4196 $409 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda Q4196 $409 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin Q4196 $409 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple Q4196 $602 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston Q4196 $821 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas Q4196 $1,437 [source] 4 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine Q4196 $1,495 [source] 4 years ago
The Hospitals Of Providence Memorial Campus 2001 North Oregon, El Paso Q4196 $1,665 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth Q4196 $2,550 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco Q4196 $2,842 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison Q4196 $3,444 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills Q4196 $3,563 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q4196 $5,052 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q4196 $5,052 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q4196 $5,052 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo Q4196 $5,280 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass Q4196 $6,376 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford Q4196 $10,300 [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 §180.