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
$362
Median
$175
High
$4.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
432 hospitals; the 90th percentile is 46.5× 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.
Filter by billing methodology
Filter by billing class
485 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $1.7k | $2.2k | $810 | 37% | — | $1.4k – $3.2k |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 3 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $227 | $215 | $120 | 56% | — | $44 – $406 |
| 4 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 5 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 6 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 7 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 8 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 9 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 10 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 2 | $244 | $244 | $121 | 50% | — | $123 – $366 |
| 11 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $332 | $332 | — | — | — | $332 – $332 |
| 12 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 2 | $765 | $765 | — | — | — | $765 – $765 |
| 13 | Alta Bates Summit Medical Center - Alta Bates Camp Berkeley, CA facility · fee schedule · outpatient | 2 | $765 | $765 | — | — | — | $765 – $765 |
| 14 | Alta Bates Summit Medical Center - Herrick Campus Berkeley, CA facility · fee schedule · outpatient | 2 | $765 | $765 | — | — | — | $765 – $765 |
| 15 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 2 | $765 | $765 | — | — | — | $765 – $765 |
| 16 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $332 | $332 | — | — | — | $332 – $332 |
| 17 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $332 | $332 | — | — | — | $332 – $332 |
| 18 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $332 | $332 | — | — | — | $332 – $332 |
| 19 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · both | 4 | $366 | $303 | $109 | 36% | — | $113 – $366 |
| 20 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $332 | $332 | — | — | — | $332 – $332 |
| 21 | Barnesville Hospital Association, Inc. Barnesville, OH facility · case rate · outpatient | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 22 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · fee schedule · outpatient | 6 | $31 | $44 | $39 | 89% | — | $16 – $131 |
| 23 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $283 | $302 | $65 | 22% | — | $226 – $427 |
| 24 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · fee schedule · outpatient | 6 | $31 | $44 | $39 | 89% | — | $16 – $131 |
| 25 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · fee schedule · outpatient | 6 | $31 | $44 | $39 | 89% | — | $16 – $131 |
← Payers reporting HCPCS Q4199 · Snapshot 20261112T181611Z-3fa9fb76