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
$1.5k
Median
$1.0k
High
$11.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
48 hospitals; the 90th percentile is 1229.7× 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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49 hospital rates
iThe hospitals that file a Tricare 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 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 2 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $7.8k | $7.2k | $1.9k | 27% | — | $4.6k – $9.2k |
| 3 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $11.9k | $11.9k | $3.5k | 29% | — | $8.4k – $15.4k |
| 5 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $1.8k | $2.6k | $2.8k | 106% | — | $9 – $6.7k |
| 6 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 7 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 1 | $7.4k | $9.3k | $7.2k | 77% | — | $1.8k – $21.9k |
| 10 | Hemet Global Medical Center Hemet, CA professional · fee schedule · outpatient | 1 | $4.8k | $6.1k | $4.7k | 77% | — | $1.2k – $14.2k |
| 11 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $8 | $88 | $140 | 158% | — | $7 – $331 |
| 12 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $73 | $117 | 160% | — | $6 – $276 |
| 13 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.9k | $2.0k | 70% | — | $830 – $6.0k |
| 14 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $1.0k | $2.2k | $2.0k | 89% | — | $398 – $5.8k |
| 15 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $1.0k | $2.2k | $2.0k | 89% | — | $398 – $5.8k |
| 16 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 17 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | McLeod Health Dillon, SC fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | McLeod Health Cheraw, SC fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 20 | McLeod Health Manning, SC fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 21 | McLeod Health Florence, SC fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 22 | McLeod Health Beach, SC fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 23 | McLeod Health Loris, SC fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 24 | McLeod Health River, SC fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 25 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $961 | $1.6k | $1.4k | 91% | — | $315 – $4.4k |
← Payers reporting HCPCS Q4118 · Snapshot 20261111T120946Z-9134e7f7