Innovamatrix dressing, per square centimeter at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MATRIX INNOVA AC PLACENTA 5X5/25SQCM

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $151 is 45% below the median hospital's median price ($274), higher than 24% of the 848 hospitals reporting HCPCS A2001. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A2001 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$27	$33	$13	39%	—	$22 – $56
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$27	$33	$13	39%	—	$22 – $56
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$28	$35	$13	39%	—	$23 – $58
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$29	$36	$14	39%	—	$24 – $60
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$30	$36	$14	39%	—	$24 – $61
6	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$93	$115	$45	39%	—	$76 – $194
7	Blue Cross Blue Shield medicare advantage case rate · outpatient	$125	$125	—	—	—	$125 – $125
8	Humana medicare advantage case rate · outpatient	$130	$130	—	—	—	$130 – $130
9	Humana medicare advantage ppo case rate · outpatient	$130	$130	—	—	—	$130 – $130
10	Molina medicare advantage case rate · outpatient	$131	$131	—	—	—	$131 – $131
11	WellCare medicare advantage hmo case rate · outpatient	$131	$131	—	—	—	$131 – $131
12	WellCare medicare advantage mmp case rate · outpatient	$138	$138	—	—	—	$138 – $138
13	UnitedHealthcare medicare advantage ppo case rate · outpatient	$139	$139	—	—	—	$139 – $139
14	UnitedHealthcare medicare advantage hmo case rate · outpatient	$142	$142	—	—	—	$142 – $142
15	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$124	$152	$59	39%	—	$101 – $257
16	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$151	$185	$72	39%	—	$123 – $313
17	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$165	$203	$79	39%	—	$135 – $342
18	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$167	$205	$80	39%	—	$136 – $346
19	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$168	$206	$80	39%	—	$137 – $348
20	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$168	$206	$80	39%	—	$137 – $348
21	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$190	$234	$91	39%	—	$155 – $394
22	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$201	$247	$96	39%	—	$164 – $417
23	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$209	$258	$100	39%	—	$171 – $435
24	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$210	$258	$101	39%	—	$171 – $436
25	Aetna asa percent of total billed charges · outpatientfrom % of charges	$211	$260	$101	39%	—	$172 – $438

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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