Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PARTICLES MICRONIZED 200MG MATRISTEM MICROMATRIX
Low
$2
Average
$1.2k
Median
$330
High
$5.6k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 671.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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40 hospital rates
iThe hospitals that file a Optum rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 3 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | $1 | 7% | — | $10 – $12 |
| 4 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | $1 | 7% | — | $10 – $12 |
| 5 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $2.4k | $4.5k | 186% | — | $14 – $15.2k |
| 6 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $1.7k | $1.8k | $1.1k | 62% | — | $427 – $3.7k |
| 7 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $1.1k | $1.2k | $1.0k | 81% | — | $67 – $2.8k |
| 8 | Fisher-Titus Medical Center Norwalk, OH professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 9 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 2 | $11 | $11 | $0 | 1% | — | $11 – $11 |
| 10 | HCA FLORIDA LARGO HOSPITAL CLEARWATER, FL percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $2.7k | $2.8k | 105% | — | $197 – $8.1k |
| 11 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $119 | $304 | 256% | — | $1 – $1.3k |
| 12 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $5 | $64 | $103 | 160% | — | $5 – $242 |
| 13 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $2.0k | $2.5k | $1.7k | 70% | — | $713 – $5.1k |
| 14 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $1.7k | $1.9k | $998 | 52% | — | $774 – $3.2k |
| 15 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $1.6k | $1.9k | $1.3k | 67% | — | $653 – $4.0k |
| 16 | MEDICAL CITY DALLAS GARLAND, TX percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $22 | $17 | 79% | — | $4 – $42 |
| 17 | MEDICAL CITY FORT WORTH FORT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | $7 | 8% | — | $74 – $92 |
| 18 | METHODIST HOSPITAL HELOTES, TX percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | $2 | 5% | — | $42 – $46 |
| 19 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $3.3k | $3.1k | $2.6k | 81% | — | $72 – $7.3k |
| 20 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 1 | $788 | $788 | — | — | — | $788 – $788 |
| 21 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $3.4k | $3.4k | $990 | 29% | — | $2.4k – $4.4k |
| 22 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 23 | Mayo Clinic Health System Sparta, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 24 | Mercy Hospital Ada Inc Ada, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 25 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Payers reporting HCPCS Q4118 · Snapshot 20261111T120946Z-9134e7f7