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
MATRIX MESHED WND 10X25/250SQCM
Arlington, TX
See all hospitals reporting HCPCS C9363 →Price type
AMH Cath Labs LLC’s median price of $133 is 27% below the median hospital's median price ($181), higher than 36% of the 1,056 hospitals reporting HCPCS C9363. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 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 | $23 | $34 | $23 | 67% | — | $16 – $72 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $23 | $34 | $23 | 67% | — | $16 – $72 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $24 | $35 | $24 | 67% | — | $17 – $76 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $25 | $36 | $24 | 67% | — | $17 – $78 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $25 | $37 | $25 | 67% | — | $18 – $79 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $75 | $109 | $73 | 67% | — | $52 – $235 |
| 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 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $89 | $130 | $88 | 67% | — | $62 – $280 |
| 11 | Molina medicare advantage case rate · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 16 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $106 | $155 | $104 | 67% | — | $74 – $333 |
| 17 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $119 | $174 | $117 | 67% | — | $83 – $374 |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $120 | $174 | $117 | 67% | — | $83 – $375 |
| 19 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $133 | $194 | $130 | 67% | — | $93 – $417 |
| 20 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $134 | $195 | $131 | 67% | — | $93 – $420 |
| 21 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $142 | $207 | $139 | 67% | — | $99 – $444 |
| 22 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $142 | $207 | $139 | 67% | — | $99 – $445 |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $143 | $209 | $140 | 67% | — | $100 – $448 |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $180 | $262 | $176 | 67% | — | $125 – $564 |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $180 | $263 | $176 | 67% | — | $126 – $565 |
Last updated: Apr 21, 2026
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