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
MICROMATRX 200MG 561X-730
Glendale, CA
See all hospitals reporting HCPCS Q4118 →Price type
Dignity Community Care’s median price of $525 is 6371% above the median hospital's median price ($8), higher than 76% 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: 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 | Anthem medicaid|all plans fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 5 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 6 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 7 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 8 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Anthem commercial|mcs fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 10 | Anthem commercial|non-mcs fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 11 | Molina medicaid|all plans fee schedule · inpatient | $742 | $1.1k | $951 | 88% | — | $77 – $3.1k |
| 12 | Anthem medicaid|all plans fee schedule · inpatient | $807 | $1.2k | $1.0k | 88% | — | $84 – $3.4k |
| 13 | Cigna commercial|all other plans fee schedule · inpatient | $968 | $1.4k | $1.2k | 88% | — | $101 – $4.1k |
| 14 | Cigna commercial|ppo fee schedule · inpatient | $968 | $1.4k | $1.2k | 88% | — | $101 – $4.1k |
| 15 | Kaiser commercial|all plans fee schedule · inpatient | $1.8k | $2.6k | $2.3k | 88% | — | $188 – $7.6k |
| 16 | Kaiser commercial|all plans fee schedule · outpatient | $1.8k | $2.6k | $2.3k | 88% | — | $188 – $7.6k |
| 17 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $1.9k | $2.8k | $2.5k | 88% | — | $201 – $8.1k |
| 18 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $1.9k | $2.8k | $2.5k | 88% | — | $201 – $8.1k |
| 19 | First Health commercial|all plans fee schedule · inpatient | $2.1k | $3.0k | $2.7k | 88% | — | $218 – $8.8k |
| 20 | First Health commercial|all plans fee schedule · outpatient | $2.1k | $3.0k | $2.7k | 88% | — | $218 – $8.8k |
| 21 | Cigna commercial|all other plans fee schedule · outpatient | $2.2k | $3.2k | $2.8k | 88% | — | $228 – $9.2k |
| 22 | Cigna commercial|ppo fee schedule · outpatient | $2.2k | $3.2k | $2.8k | 88% | — | $228 – $9.2k |
| 23 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $2.4k | $3.5k | $3.1k | 88% | — | $251 – $10.2k |
| 24 | MultiPlan commercial|all plans fee schedule · inpatient | $2.6k | $3.7k | $3.3k | 88% | — | $268 – $10.9k |
| 25 | MultiPlan commercial|all plans fee schedule · outpatient | $2.6k | $3.7k | $3.3k | 88% | — | $268 – $10.9k |
Last updated: Feb 28, 2026
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