HospitalPricer

Q4157

HCPCS

Revitalon 1 square cm

Verified from hospital fileNot a bill estimate
iDirect answer

Based on the latest published hospital price files, code Q4157 (Revitalon 1 square cm) appears at 10 hospitals with disclosed cash prices from $236 to $236. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

9
hospitals publish a price
1
list this service without a published price
7
Cash
7
List
2
Negotiated
0
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 Q4157 prices

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

7
Hospitals
10
Prices shown
$236
Lowest cash
$236
Highest cash

Cash price by city

Reflects your current filters.

Cash price by city$236$236
  • Hood River · 1 hospital$236
  • Medford · 1 hospital$236
  • Milwaukie · 1 hospital$236
  • Newberg · 1 hospital$236
  • Portland · 2 hospitals$236
  • Seaside · 1 hospital$236

10 prices shown.

ServiceHospitalCodeList priceCash priceNegotiated rangeAllowed (median)
Revitalon 1 square cm
Outpatient
Endeavor Health Edward HospitalQ4157
HCPCS
$133 – $356
Revitalon 1 square cm
Outpatient
University of Chicago Medical CenterQ4157
HCPCS
HC MEMBRANE 2CMX4CM AMNIOBAND WC3024 8SQCM
Inpatient & outpatient
Providence Hood River Memorial HospitalQ4157
HCPCS
$315$236
HC MEMBRANE 2CMX4CM AMNIOBAND WC3024 8SQCM
Inpatient & outpatient
Providence Medford Medical CenterQ4157
HCPCS
$315$236
HC MEMBRANE 2CMX4CM AMNIOBAND WC3024 8SQCM
Inpatient & outpatient
Providence Milwaukie HospitalQ4157
HCPCS
$315$236
HC MEMBRANE 2CMX4CM AMNIOBAND WC3024 8SQCM
Inpatient & outpatient
Providence Newberg Medical CenterQ4157
HCPCS
$315$236
HC MEMBRANE 2CMX4CM AMNIOBAND WC3024 8SQCM
Inpatient & outpatient
Providence Portland Medical CenterQ4157
HCPCS
$315$236
HC MEMBRANE 2CMX4CM AMNIOBAND WC3024 8SQCM
Inpatient & outpatient
Providence St Vincent Medical CenterQ4157
HCPCS
$315$236
HC MEMBRANE 2CMX4CM AMNIOBAND WC3024 8SQCM
Inpatient & outpatient
Providence Seaside HospitalQ4157
HCPCS
$315$236
Revitalon 1 square cm
Outpatient
Montefiore Mount Vernon HospitalQ4157
HCPCS
$155 – $214

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 Q4157 prices

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

Code Q4157: frequently asked

What does code Q4157 cost?
Across the published hospital price files, the disclosed cash price for Q4157 ranges from $236 to $236. 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 Q4157?
Q4157 is the billing code hospitals use to identify "Revitalon 1 square 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.

Related

Hospitals publishing code Q4157 by state