Q4130
HCPCSNoncdm Charge Record Medical Supplies
Based on the latest published hospital price files, code Q4130 (Noncdm Charge Record Medical Supplies) appears at 4 hospitals with disclosed cash prices from $85.00 to $19,843. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Published-price availability
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 Q4130 prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
Published cash prices for code Q4130 vary by about 233× across the 3 hospitals with disclosed prices here — from $85.00 to $19,843. Shopping around can matter.
Lowest cash price by hospital
Cash price by city
Reflects your current filters.
- Kenosha · 1 hospital$85.00
- Grayling · 1 hospital$3,190–$19,843
- Frankfort · 1 hospital$6,350–$15,876
8 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| Noncdm Charge Record Medical Supplies Inpatient & outpatient | University of Chicago Medical Center | Q4130 HCPCS | — | — | — | — | |
| STRATTICE, PER SQ CM Inpatient | Aurora Medical Center Kenosha | Q4130 HCPCS | $170 | $85.00 | $102 – $145 | — | |
| GRAFT STRATTICE 8X1642971 Outpatient | Paul Oliver Memorial Hospital | Q4130 HCPCS | $7,470 | $6,350 | $87.82 – $7,097 | — | |
| GRAFT STRATTICE FIRM 16X2078191 Outpatient | Paul Oliver Memorial Hospital | Q4130 HCPCS | $18,678 | $15,876 | $87.82 – $17,744 | — | |
| GRAFT STRATTICE 20X2046073 Outpatient | Munson Healthcare Grayling | Q4130 HCPCS | $23,345 | $19,843 | $64.85 – $19,843 | — | |
| GRAFT STRATTICE CONTOUR 2 9CMX18.5CM69276 Outpatient | Munson Healthcare Grayling | Q4130 HCPCS | $4,460 | $3,791 | $64.85 – $3,791 | — | |
| GRAFT STRATTICE FIRM 10X1650653 Outpatient | Munson Healthcare Grayling | Q4130 HCPCS | $9,340 | $7,939 | $64.85 – $7,939 | — | |
| GRAFT STRATTICE FIRM 6X1050651 Outpatient | Munson Healthcare Grayling | Q4130 HCPCS | $3,753 | $3,190 | $64.85 – $3,190 | — |
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- A historical reference for what was actually allowed, where disclosed.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 Q4130 prices
Open a hospital to see this code in the context of its full published prices.
Code Q4130: frequently asked
- What does code Q4130 cost?
- Across the published hospital price files, the disclosed cash price for Q4130 ranges from $85.00 to $19,843. 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 Q4130?
- Q4130 is the billing code hospitals use to identify "Noncdm Charge Record Medical Supplies" 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.