Price Checker / CPT Q4197
How much does Puraply Xt 1 Sq Cm cost?
CPT Q4197 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 25x the fair price — among the most extreme markups. Dispute this.
Fair price
$190–$380
What this should cost
With insurance
~$2,500
Typical out-of-pocket
Overcharged if over
$480
Push back above this
The average hospital charge of $7,164 is $6,874 over the fair price (about 25x the fair rate).
What hospitals charge for Puraply Xt 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 |
|---|---|---|---|
| ST FRANCIS MEDICAL CENTER BRECKENRIDGE, VA | $24,479 | $14,687 | 19135% |
| Copper Queen Community Hospital Bisbee, AZ | $15,509 | — | 10868% |
| Astria Sunnyside Hospital SUNNYSIDE, WA | $9,875 | $5,639 | 7660% |
| "St. John's Riverside Hospital Andrus Pavilion" Yonkers, NY | $7,787 | $6,619 | 6019% |
| "St. John's Riverside Hospital Boyce Thompson Pavilion" Yonkers, NY | $7,787 | $6,619 | 6019% |
| "St. John's Riverside Hospital Dobbs Ferry Pavilion" Yonkers, NY | $7,787 | $6,619 | 6019% |
| "St. John's Riverside Hospital" YONKERS, NY | $7,787 | $6,619 | 6019% |
| "St. John's Riverside Hospital Park Care Pavilion" Yonkers, NY | $7,787 | $6,619 | 6019% |
| Regional Medical Center MANCHESTER, IA | $2,750 | $2,200 | 2061% |
| Hospital of the University of Pennsylvania - Cedar Avenue , PA | $397 | $397 | 212% |
| Hospital of the University of Pennsylvania Pavilion , PA | $397 | $397 | 212% |
| Penn Medicine - Rittenhouse , PA | $397 | $397 | 212% |
| The Hospital of the University of Pennsylvania , PA | $397 | $397 | 212% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Puraply Xt 1 Sq Cm
CPT code Q4197 refers to puraply xt 1 sq cm (billing description: "Puraply xt 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.