Price Checker / CPT Q4196
How much does Puraply Am 1 Sq Cm cost?
CPT Q4196 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 47x the fair price — among the most extreme markups. Dispute this.
Fair price
$190–$380
What this should cost
With insurance
~$2,450
Typical out-of-pocket
Overcharged if over
$480
Push back above this
The average hospital charge of $13,554 is $13,264 over the fair price (about 47x the fair rate).
What hospitals charge for Puraply Am 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 |
|---|---|---|---|
| Astria Sunnyside Hospital SUNNYSIDE, WA | $62,286 | $35,565 | 48844% |
| ST FRANCIS MEDICAL CENTER BRECKENRIDGE, VA | $44,451 | $26,671 | 34830% |
| Good Samaritan University Hospital , NY | $34,155 | $34,155 | 26739% |
| St. Catherine of Siena Hospital SMITHTOWN, NY | $34,155 | $34,155 | 26739% |
| Fauquier Health , VA | $26,399 | — | 20644% |
| Ochsner St. Mary MORGAN CITY, LA | $25,650 | $3,848 | 20056% |
| Ochsner Abrom Kaplan Memorial Hospital , LA | $25,034 | $11,766 | 19572% |
| Slidell Memorial Hospital- East Campus Slidell, LA | $23,085 | $3,463 | 18040% |
| Slidell Memorial Hospital - Main Campus Slidell, LA | $23,085 | $3,463 | 18040% |
| FAIRFIELD HOSPITAL , OH | $22,437 | $13,462 | 17531% |
| "St. John's Riverside Hospital Andrus Pavilion" Yonkers, NY | $19,688 | $16,735 | 15371% |
| "St. John's Riverside Hospital Boyce Thompson Pavilion" Yonkers, NY | $19,688 | $16,735 | 15371% |
| "St. John's Riverside Hospital Dobbs Ferry Pavilion" Yonkers, NY | $19,688 | $16,735 | 15371% |
| "St. John's Riverside Hospital" YONKERS, NY | $19,688 | $16,735 | 15371% |
| "St. John's Riverside Hospital Park Care Pavilion" Yonkers, NY | $19,688 | $16,735 | 15371% |
Were you billed for this procedure?
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About Puraply Am 1 Sq Cm
CPT code Q4196 refers to puraply am 1 sq cm (billing description: "Puraply am 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.