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
WND MATRX 3CC 3529X-4588
Los Angeles, CA
See all hospitals reporting HCPCS Q4114 →Price type
Dignity Community Care’s median price of $6.0k is 95% above the median hospital's median price ($3.1k), higher than 82% of the 1,270 hospitals reporting HCPCS Q4114. 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, 29 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 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | Molina medicaid|< 21 fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 3 | Molina medicaid|> 21 fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 4 | Kaiser medicaid|< 21 fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 5 | Kaiser medicaid|> 21 fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 6 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 7 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 8 | Anthem commercial|exchange fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 9 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 10 | Anthem commercial|all other plans fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 11 | Molina medicaid|< 21 fee schedule · inpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 12 | Molina medicaid|> 21 fee schedule · inpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 13 | Anthem medicaid|all plans fee schedule · inpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 14 | Anthem commercial|mcs fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 15 | Cigna commercial|all other plans fee schedule · inpatient | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 16 | Cigna commercial|ppo fee schedule · inpatient | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 17 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 19 | Aetna commercial|hmo fee schedule · inpatient | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 20 | Aetna commercial|ppo fee schedule · inpatient | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 21 | First Health commercial|all plans fee schedule · inpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 22 | First Health commercial|all plans fee schedule · outpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 23 | Kaiser commercial|all plans fee schedule · inpatient | $16.1k | $16.1k | — | — | — | $16.1k – $16.1k |
| 24 | Kaiser commercial|all plans fee schedule · outpatient | $16.1k | $16.1k | — | — | — | $16.1k – $16.1k |
| 25 | Blue Cross Blue Shield medicare|promise fee schedule · outpatient | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
Last updated: Feb 28, 2026
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