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
PARTICLE MICROMAT 200MG/PER MG
Arlington, TX
See all hospitals reporting HCPCS Q4118 →Price type
AMH Cath Labs LLC’s median price of $9 is 8% above the median hospital's median price ($8), higher than 51% of the 1,572 hospitals reporting HCPCS Q4118. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 hmo fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Blue Cross Blue Shield traditional fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 5 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $1 | $161 | $356 | 221% | — | $1 – $957 |
| 6 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $1 | $161 | $356 | 221% | — | $1 – $957 |
| 7 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $1 | $169 | $374 | 221% | — | $1 – $1.0k |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $1 | $174 | $384 | 221% | — | $1 – $1.0k |
| 9 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $1 | $177 | $391 | 221% | — | $1 – $1.1k |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $4 | $625 | $1.4k | 221% | — | $4 – $3.7k |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $5 | $742 | $1.6k | 221% | — | $4 – $4.4k |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $6 | $834 | $1.8k | 221% | — | $5 – $5.0k |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $7 | $935 | $2.1k | 221% | — | $6 – $5.6k |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $7 | $990 | $2.2k | 221% | — | $6 – $5.9k |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $7 | $991 | $2.2k | 221% | — | $6 – $5.9k |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $7 | $1000 | $2.2k | 221% | — | $6 – $5.9k |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $9 | $1.3k | $2.8k | 221% | — | $8 – $7.5k |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $9 | $1.3k | $2.8k | 221% | — | $8 – $7.5k |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $9 | $1.3k | $2.8k | 221% | — | $8 – $7.5k |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $9 | $1.3k | $2.8k | 221% | — | $8 – $7.5k |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $10 | $1.3k | $3.0k | 221% | — | $8 – $8.0k |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $11 | $1.6k | $3.5k | 221% | — | $9 – $9.4k |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $11 | $1.6k | $3.5k | 221% | — | $9 – $9.4k |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $12 | $1.7k | $3.8k | 221% | — | $10 – $10.1k |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $12 | $1.7k | $3.8k | 221% | — | $10 – $10.1k |
Last updated: Apr 21, 2026
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