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
HC (SUP SHELL Q4199) CYGNUS MATRIX, PER SQ CM
Low
$0
Average
$586
Median
$192
High
$10.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
637 hospitals; the 90th percentile is 7.7× 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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752 hospital rates
iThe hospitals that file a Aetna 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 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $124 | $142 | $36 | 26% | — | $109 – $193 |
| 2 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $124 | $140 | $34 | 24% | — | $109 – $187 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $198 | $382 | $318 | 83% | — | $118 – $829 |
| 4 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 2 | $198 | $198 | $28 | 14% | — | $170 – $227 |
| 5 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $269 | $242 | $111 | 46% | — | $48 – $345 |
| 6 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $153 | $153 | $42 | 27% | — | $111 – $195 |
| 7 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $881 | $881 | — | — | — | $881 – $881 |
| 8 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $286 | $337 | $86 | 25% | — | $267 – $457 |
| 9 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $174 | $44 | 25% | — | $138 – $237 |
| 10 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $504 | $504 | $385 | 76% | — | $119 – $889 |
| 11 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $257 | $303 | $77 | 25% | — | $240 – $412 |
| 12 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 13 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 14 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 15 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 16 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 17 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 18 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $638 | $638 | — | — | — | $638 – $638 |
| 19 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 2 | $194 | $194 | $35 | 18% | — | $159 – $229 |
| 20 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 21 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $279 | $279 | $0 | 0% | — | $279 – $279 |
| 22 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $134 | $163 | $47 | 29% | — | $127 – $229 |
| 23 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 24 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 25 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
← Payers reporting HCPCS Q4199 · Snapshot 20261112T181611Z-3fa9fb76