Cygnus matrix, 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

PATCH AMNIO CYGNUS MATRIX MD 4X4/16SQCM

Arlington, TX

See all hospitals reporting HCPCS Q4199 →

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $231 is 6% below the median hospital's median price ($247), higher than 48% of the 1,068 hospitals reporting HCPCS Q4199. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4199 at AMH Cath Labs LLC

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	$44	$44	—	—	—	$44 – $44
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$46	$46	—	—	—	$46 – $46
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$47	$47	—	—	—	$47 – $47
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$48	$48	—	—	—	$48 – $48
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$125	$125	—	—	—	$125 – $125
7	Humana medicare advantage case rate · outpatient	$130	$130	—	—	—	$130 – $130
8	Humana medicare advantage ppo case rate · outpatient	$130	$130	—	—	—	$130 – $130
9	Molina medicare advantage case rate · outpatient	$131	$131	—	—	—	$131 – $131
10	WellCare medicare advantage hmo case rate · outpatient	$131	$131	—	—	—	$131 – $131
11	WellCare medicare advantage mmp case rate · outpatient	$138	$138	—	—	—	$138 – $138
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$139	$139	—	—	—	$139 – $139
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$142	$142	—	—	—	$142 – $142
14	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$143	$143	—	—	—	$143 – $143
15	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$170	$170	—	—	—	$170 – $170
16	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$202	$202	—	—	—	$202 – $202
17	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$227	$227	—	—	—	$227 – $227
18	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$227	$227	—	—	—	$227 – $227
19	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$253	$253	—	—	—	$253 – $253
20	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
21	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$269	$269	—	—	—	$269 – $269
22	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$270	$270	—	—	—	$270 – $270
23	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
24	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$342	$342	—	—	—	$342 – $342
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$343	$343	—	—	—	$343 – $343

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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