Q4205
HCPCSMedicine & Other ServicesMembrane graft or wrap sq cm
As billed by one hospital: “HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) MEMBRANE GRAFT/WRAP PER SQ CM”
Based on the latest published hospital price files, code Q4205 (Membrane graft or wrap sq cm) appears at 6 hospitals across 6 cities in 5 states with disclosed cash prices from $1,510 to $1,698. This is public hospital price transparency data, not a guaranteed estimate of your bill.
New to this? Read How to compare hospital prices by CPT code.
What this is
This is a non-surgical medical service — an injection or infusion, a therapy, a specialty test, or another treatment delivered by clinical staff.
What affects the price
Drugs and supplies used during the service are frequently billed on their own separate lines, so the total can exceed the price shown here. Ask which additional codes are expected.
Category: Medicine & Other Services
What the published prices show
Across the 10 hospitals that disclose a cash price for code Q4205, the median is $1,604, and disclosed prices run from $1,510 to $1,698.
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 Q4205 prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
Published cash prices for code Q4205 vary by about 12% across the 2 hospitals with disclosed prices here — from $1,510 to $1,698. Shopping around can matter.
Lowest cash price by hospital
- AdventHealth Carrollwood$1,510
- AdventHealth Orlando$1,698
Cash price by city
Reflects your current filters.
- Tampa · 1 hospital$1,510
- Orlando · 1 hospital$1,698
14 prices shown.
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- A historical reference for what was actually allowed, where disclosed.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 Q4205 prices
Open a hospital to see this code in the context of its full published prices.
Code Q4205: frequently asked
- What does code Q4205 cost?
- Across the published hospital price files, the disclosed cash price for Q4205 ranges from $1,510 to $1,698. 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 Q4205?
- Q4205 is the billing code hospitals use to identify "Membrane graft or wrap sq cm" on their published price files. We use it to line up the same service across different hospitals.
- Why do Q4205 prices differ between hospitals?
- 6 hospitals across 5 states publish a price for Q4205 here. 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.