What does code Q4101 cost?

Across the published hospital price files, the disclosed cash price for Q4101 ranges from $21.00 to $2,710. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

Q4101 is the billing code hospitals use to identify "HC APLIGRAF PER SQ CM 44 SQ CM" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

Q4101

HCPCS

HC APLIGRAF PER SQ CM 44 SQ CM

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code Q4101 (HC APLIGRAF PER SQ CM 44 SQ CM) appears at 23 hospitals with disclosed cash prices from $21.00 to $2,710. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare Q4101 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code Q4101 vary by about 129× across the 22 hospitals with disclosed prices here — from $21.00 to $2,710. Shopping around can matter.

Hospitals

Prices shown

$21.00

Lowest cash

$2,710

Highest cash

code Q4101 cash price31 disclosed · 22 hospitals

$21.00median ~$72.40$2,710

Lowest cash price by hospital

Providence Cedars-Sinai Tarzana Medical Center$21.00
Providence Saint Joseph Medical Center$21.00
Deaconess Gibson Hospital$53.53
Healdsburg Hospital$56.16
Aurora Medical Center Kenosha$62.06
Aurora Medical Center Burlington$65.00

Cash price by city

Reflects your current filters.

Cash price by city$21.00 – $65.00

Tarzana · 1 hospital$21.00
Burbank · 1 hospital$21.00
Princeton · 1 hospital$53.53
Healdsburg · 1 hospital$56.16
Kenosha · 1 hospital$62.06–$65.00
Burlington · 1 hospital$65.00

33 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC APLIGRAF PER SQ CM 44 SQ CM Inpatient & outpatient	Endeavor Health Edward Hospital	Q4101 HCPCS	$170	$170	—	—
Apligraf Outpatient	Endeavor Health Edward Hospital	Q4101 HCPCS	—	—	$75.79 – $215	—
Apligraf Outpatient	University of Chicago Medical Center	Q4101 HCPCS	—	—	—	—
HB SKIN SUBS, APLIGRAF, PER SQ CM Inpatient & outpatient	Endeavor Health Swedish Hospital	Q4101 HCPCS	$116	$116	—	—
APLIGRAF PER SQ CM Inpatient	Aurora Medical Center Burlington	Q4101 HCPCS	$130	$65.00	$78.00 – $111	—
APLIGRAF PER SQ CM Inpatient	Aurora Medical Center Grafton	Q4101 HCPCS	$130	$65.00	$78.00 – $111	—
1156468 - GRAFT APLIGRF 44SQ CM SKIN Inpatient	Aurora Medical Center Kenosha	Q4101 HCPCS	$124	$62.06	$74.47 – $105	—
APLIGRAF PER SQ CM Inpatient	Aurora Medical Center Kenosha	Q4101 HCPCS	$130	$65.00	$78.00 – $111	—
APLIGRAF PER SQ CM Inpatient	Aurora Lakeland Medical Center	Q4101 HCPCS	$130	$65.00	$78.00 – $111	—
HC APLIGRAF PER SQCM Inpatient	Froedtert West Bend Hospital	Q4101 HCPCS	$306	$168	$122 – $290	—
GRAFT APLIGRAF 44 SQ CM43913 Outpatient	Munson Healthcare Grayling	Q4101 HCPCS	$3,188	$2,710	$46.25 – $3,630	—
HC APLIGRAF PER SQ CM WASTAGE Inpatient	Deaconess Gibson Hospital	Q4101 HCPCS	$101	$53.53	$53.53 – $90.90	—
HC APLIGRAF PER SQ CM Inpatient	Deaconess Gibson Hospital	Q4101 HCPCS	$101	$53.53	$53.53 – $90.90	—
Apligraf per sq cm Inpatient	Three Rivers Health	Q4101 CPT	$254	$165	$50.80 – $254	—
HC APLIGRAF 44 SQ CM APLIGRAFCOM Inpatient & outpatient	Providence Alaska Medical Center	Q4101 HCPCS	$194	$151	—	—
HC APLIGRAF 44 SQ CM APLIGRAFCOM Inpatient & outpatient	Providence Kodiak Island Medical Center	Q4101 HCPCS	$116	$90.48	—	—
Apligraf per Sq Cm (Wasteage) Inpatient	Stanford Health Care	Q4101 HCPCS	$301	$120	—	—
Apligraf per Sq Cm (Wasteage) Outpatient	Stanford Health Care	Q4101 HCPCS	$301	$120	—	—
Apligraf per Sq Cm Outpatient	Stanford Health Care	Q4101 HCPCS	$301	$120	—	—
Apligraf per Sq Cm Inpatient	Stanford Health Care	Q4101 HCPCS	$301	$120	—	—
HC APLIGRAF 44 SQ CM APLIGRAFCOM Inpatient & outpatient	Healdsburg Hospital	Q4101 HCPCS	$110	$56.16	—	—
HC APLIGRAF PER SQ CM (63610006) Inpatient & outpatient	Providence Cedars-Sinai Tarzana Medical Center	Q4101 HCPCS	$60.00	$21.00	—	—
APLIGRAF RND 7.5CM/44SQCM Inpatient	Texas Health Arlington Memorial Hospital	Q4101 HCPCS	$121	$72.40	$41.72 – $114	—
MATRIX APLIGRAF 7.5/44SQCM Inpatient	Texas Health Arlington Memorial Hospital	Q4101 HCPCS	$121	$72.40	$41.72 – $114	—
APLIGRAF RND 7.5CM/44SQCM Inpatient	Texas Health Presbyterian Hospital Flower Mound	Q4101 HCPCS	$121	$72.40	$41.72 – $114	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish Q4101 prices

Open a hospital to see this code in the context of its full published prices.

Code Q4101: frequently asked

What does code Q4101 cost?: Across the published hospital price files, the disclosed cash price for Q4101 ranges from $21.00 to $2,710. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code Q4101?: Q4101 is the billing code hospitals use to identify "HC APLIGRAF PER SQ CM 44 SQ CM" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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