Restrata MiniMatrix wound dressing, 5 mg 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MATRIX WND RESTRATA MINI 2000MG/PER 5 MG

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 $58 is 36% below the median hospital's median price ($90), higher than 43% of the 355 hospitals reporting HCPCS A2026. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A2026 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 8 payers, 25 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	$9	$9	$1	13%	—	$8 – $11
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$9	$9	$1	13%	—	$8 – $11
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$9	$10	$1	13%	—	$8 – $11
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$10	$10	$1	13%	—	$8 – $12
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$10	$10	$1	13%	—	$8 – $12
6	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$29	$30	$4	13%	—	$25 – $35
7	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$34	$35	$5	13%	—	$30 – $42
8	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$41	$42	$5	13%	—	$36 – $50
9	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$46	$47	$6	13%	—	$40 – $56
10	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$46	$47	$6	13%	—	$40 – $56
11	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$51	$52	$7	13%	—	$45 – $63
12	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$51	$53	$7	13%	—	$45 – $63
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$54	$56	$7	13%	—	$47 – $67
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$54	$56	$7	13%	—	$47 – $67
15	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$55	$56	$7	13%	—	$48 – $68
16	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$69	$71	$9	13%	—	$60 – $85
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$69	$71	$9	13%	—	$60 – $85
18	Aetna asa percent of total billed charges · outpatientfrom % of charges	$69	$71	$9	13%	—	$61 – $86
19	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$69	$71	$9	13%	—	$61 – $86
20	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$74	$76	$10	13%	—	$65 – $91
21	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$82	$84	$11	13%	—	$71 – $101
22	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$86	$89	$11	13%	—	$75 – $106
23	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$86	$89	$11	13%	—	$75 – $106
24	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$93	$96	$12	13%	—	$82 – $115
25	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$93	$96	$12	13%	—	$82 – $115

Last updated: Apr 21, 2026

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