Price Checker / CPT Q4186
How much does Epifix 1 Sq Cm cost?
CPT Q4186 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 40x the fair price — among the most extreme markups. Dispute this.
Fair price
$190–$380
What this should cost
With insurance
~$2,900
Typical out-of-pocket
Overcharged if over
$480
Push back above this
The average hospital charge of $11,506 is $11,216 over the fair price (about 40x the fair rate).
What hospitals charge for Epifix 1 Sq Cm
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| John Muir Health Behavioral Health Center , CA | $62,442 | $12,927 | 48966% |
| John Muir Health Walnut Creek Medical Center , CA | $62,442 | $9,906 | 48966% |
| ST FRANCIS MEDICAL CENTER BRECKENRIDGE, VA | $53,940 | $32,364 | 42285% |
| FAIRFIELD HOSPITAL , OH | $51,677 | $31,006 | 40508% |
| Jeff Davis Hospital HAZLEHURST, GA | $33,906 | $11,867 | 26543% |
| Methodist Medical Center of Oak Ridge OAK RIDGE, TN | $28,480 | $14,240 | 22279% |
| Eaton Rapids Medical Center EATON RAPIDS, MI | $23,856 | $19,084 | 18645% |
| UMass Memorial Health-Harrington at Webster , MA | $22,683 | $22,683 | 17724% |
| UMass Memorial Health-Harrington Hospital SOUTHBRIDGE, MA | $22,683 | $22,683 | 17724% |
| Ochsner St. Mary MORGAN CITY, LA | $17,475 | $2,621 | 13632% |
| Ochsner Abrom Kaplan Memorial Hospital , LA | $17,056 | $8,016 | 13302% |
| MedStar Good Samaritan Hospital BALTIMORE, MD | $16,130 | $15,807 | 12575% |
| Slidell Memorial Hospital- East Campus Slidell, LA | $15,728 | $2,359 | 12259% |
| Slidell Memorial Hospital - Main Campus Slidell, LA | $15,728 | $2,359 | 12259% |
| Astria Sunnyside Hospital SUNNYSIDE, WA | $12,000 | $6,852 | 9330% |
Were you billed for this procedure?
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About Epifix 1 Sq Cm
CPT code Q4186 refers to epifix 1 sq cm (billing description: "Epifix 1 sq cm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $127 in a facility (hospital or surgery center) and $127 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.