What does code Q4133 cost?

Across the published hospital price files, the disclosed cash price for Q4133 ranges from $24.20 to $1,544. 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.

Q4133 is the billing code hospitals use to identify "Grafix prime" 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.

Q4133

HCPCS

Grafix prime

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code Q4133 (Grafix prime) appears at 27 hospitals with disclosed cash prices from $24.20 to $1,544. 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

136

Cash

136

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 Q4133 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 Q4133 vary by about 64× across the 25 hospitals with disclosed prices here — from $24.20 to $1,544. Shopping around can matter.

Hospitals

138

Prices shown

$24.20

Lowest cash

$1,544

Highest cash

code Q4133 cash price136 disclosed · 25 hospitals

$24.20median ~$425$1,544

Lowest cash price by hospital

Froedtert West Bend Hospital$24.20
Froedtert Menomonee Falls Hospital$28.60
Providence Alaska Medical Center$129
Providence Cedars-Sinai Tarzana Medical Center$165
Healdsburg Hospital$207
Santa Rosa Memorial Hospital$246

Cash price by city

Reflects your current filters.

Cash price by city$24.20 – $1,544

West Bend · 1 hospital$24.20–$816
Menomonee Falls · 1 hospital$28.60–$816
Anchorage · 1 hospital$129–$1,544
Tarzana · 1 hospital$165–$457
Healdsburg · 1 hospital$207–$565
Santa Rosa · 1 hospital$246–$680

138 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Grafix prime Outpatient	Endeavor Health Edward Hospital	Q4133 HCPCS	—	—	$133 – $331	—
Grafix prime Outpatient	University of Chicago Medical Center	Q4133 HCPCS	—	—	—	—
HB GRAFIX PRIME PER SQ CM Inpatient & outpatient	Endeavor Health Swedish Hospital	Q4133 HCPCS	$872	$872	—	—
HC GRAFIX PRIME, PER SQ CM, 16 MM DISC Outpatient	Froedtert Hospital	Q4133 HCPCS	$1,536	$845	$461 – $1,352	—
HC GRAFIX PL PRIME, PER SQUARE CENTIMETER, 3X3CM Outpatient	Froedtert Hospital	Q4133 HCPCS	$506	$278	$152 – $445	—
HC GRAFIX PL PRIME, PER SQUARE CENTIMETER, 3X3CM Outpatient	Froedtert Menomonee Falls Hospital	Q4133 HCPCS	$506	$278	$147 – $455	—
HC GRAFT OASIS BURN MATRIX, PER SQUARE CENTIMETER (7X10CM) Outpatient	Froedtert Menomonee Falls Hospital	Q4133 HCPCS	$52.00	$28.60	$15.60 – $147	—
HC GRAFIX PRIME, PER SQ CM, 1.5 X 2 CM Outpatient	Froedtert Menomonee Falls Hospital	Q4133 HCPCS	$1,484	$816	$147 – $1,335	—
HC GRAFIX PRIME, PER SQ CM, 3 X 4 CM Outpatient	Froedtert Menomonee Falls Hospital	Q4133 HCPCS	$398	$219	$119 – $358	—
HC GRAFIX PRIME, PER SQ CM, 16 MM DISC Outpatient	Froedtert Menomonee Falls Hospital	Q4133 HCPCS	$1,397	$768	$147 – $1,257	—
GRAFIX PRIME PER SQ CM Inpatient	Aurora Medical Center Fond du Lac	Q4133 HCPCS	$660	$330	$396 – $561	—
1214605 - GRAFT STRAVIX PL 3X6CM 18SQ CM SFT TIS LYPO UMBILICAL Inpatient	Aurora Medical Center Kenosha	Q4133 HCPCS	$784	$392	$470 – $666	—
HC GRAFIX PRIME, PER SQ CM, 1.5 X 2 CM Inpatient	Froedtert West Bend Hospital	Q4133 HCPCS	$1,484	$816	$593 – $1,409	—
HC GRAFIX PRIME, PER SQ CM, 16 MM DISC Inpatient	Froedtert West Bend Hospital	Q4133 HCPCS	$1,397	$768	$559 – $1,327	—
HC GRAFT OASIS BURN MATRIX, PER SQUARE CENTIMETER (7X20CM) Inpatient	Froedtert West Bend Hospital	Q4133 HCPCS	$44.00	$24.20	$17.60 – $41.80	—
HC GRAFIX PRIME, PER SQ CM, 2 X 3 CM Inpatient	Froedtert West Bend Hospital	Q4133 HCPCS	$760	$418	$304 – $722	—
HC ALGRFT STRAVIX DRSG 2X4CM 8SQCM PS60005 Inpatient & outpatient	Providence Alaska Medical Center	Q4133 HCPCS	$1,283	$1,000	—	—
HC ALGRFT STRAVIX DRSG 3X6CM 18SQCM PS60008 Inpatient & outpatient	Providence Alaska Medical Center	Q4133 HCPCS	$165	$129	—	—
HC ALGRFT GRAFIX PRIME PLS 16MM 2SQCM PS13016 Inpatient & outpatient	Providence Alaska Medical Center	Q4133 HCPCS	$1,931	$1,506	—	—
HC ALGRFT GRAFIX PRIME PLS 1.5X2CM 3SQCM Inpatient & outpatient	Providence Alaska Medical Center	Q4133 HCPCS	$1,980	$1,544	—	—
HC ALGRFT GRAFIX PRIME PLS 2X3CM PS13023 6SQCM Inpatient & outpatient	Providence Alaska Medical Center	Q4133 HCPCS	$1,161	$906	—	—
HC ALGRFT GRAFIX PRIME PLS 3X3CM PS13033 9SQCM Inpatient & outpatient	Providence Alaska Medical Center	Q4133 HCPCS	$825	$644	—	—
HC ALGRFT GRAFIX PRIME PLS 3X4CM PS13034 12SQCM Inpatient & outpatient	Providence Alaska Medical Center	Q4133 HCPCS	$668	$521	—	—
Tiss Placntl Stravix 3x6cm Inpatient	Stanford Health Care	Q4133 HCPCS	$1,820	$728	—	—
Tiss Placntl Stravix 3x6cm Outpatient	Stanford Health Care	Q4133 HCPCS	$1,820	$728	—	—

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 Q4133 prices

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

Endeavor Health Edward Hospital University of Chicago Medical Center Endeavor Health Swedish Hospital Froedtert Hospital Froedtert Menomonee Falls Hospital Aurora Medical Center Fond du Lac Aurora Medical Center Kenosha Froedtert West Bend Hospital Providence Alaska Medical Center Stanford Health Care Healdsburg Hospital Queen of The Valley Medical Center Santa Rosa Memorial Hospital Providence Cedars-Sinai Tarzana Medical Center Providence Holy Cross Medical Center Texas Health Arlington Memorial Hospital Texas Health Presbyterian Hospital Flower Mound Texas Health Hospital Frisco Providence Little Company of Mary Med Center Torrance Providence Mission Hospital - Mission Viejo Providence Saint John's Health Center Providence Saint Joseph Medical Center Providence St Joseph Hospital Orange St Jude Medical Center St Mary Medical Center Texas Health Hospital Rockwall Atrium Health Lincoln

Code Q4133: frequently asked

What does code Q4133 cost?: Across the published hospital price files, the disclosed cash price for Q4133 ranges from $24.20 to $1,544. 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 Q4133?: Q4133 is the billing code hospitals use to identify "Grafix prime" 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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