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 W 2X2IN 1605X-2087
Carmichael, CA
See all hospitals reporting HCPCS Q4108 →Price type
Dignity Health’s median price of $5.4k is 3963% above the median hospital's median price ($132), higher than 93% of the 1,386 hospitals reporting HCPCS Q4108. 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, 36 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 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 3 | Anthem commercial|connection epo fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Anthem commercial|all other plans fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 5 | Molina medicaid|all plans fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 6 | Anthem medicaid|all plans fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 7 | Anthem commercial|mcs fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 9 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 10 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 11 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 12 | Cigna commercial|localplus fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 13 | Cigna commercial|all other plans fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 14 | Kaiser commercial|all plans fee schedule · inpatient | $3.6k | $4.1k | $1.7k | 41% | — | $2.4k – $6.9k |
| 15 | Kaiser medicaid|all plans fee schedule · inpatient | $3.6k | $4.1k | $1.7k | 41% | — | $2.4k – $6.9k |
| 16 | Kaiser medicare|all plans fee schedule · inpatient | $3.6k | $4.1k | $1.7k | 41% | — | $2.4k – $6.9k |
| 17 | Anthem medicaid|all plans fee schedule · inpatient | $3.7k | $4.3k | $1.8k | 41% | — | $2.5k – $7.2k |
| 18 | Molina medicaid|all plans fee schedule · inpatient | $4.1k | $4.6k | $1.9k | 41% | — | $2.7k – $7.8k |
| 19 | Cigna commercial|localplus fee schedule · inpatient | $6.2k | $7.1k | $2.9k | 41% | — | $4.2k – $11.9k |
| 20 | Kaiser medicaid|all plans fee schedule · outpatient | $6.4k | $7.3k | $3.0k | 41% | — | $4.3k – $12.2k |
| 21 | Cigna commercial|all other plans fee schedule · inpatient | $8.3k | $9.5k | $3.9k | 41% | — | $5.5k – $15.8k |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $8.4k | $9.6k | $4.0k | 41% | — | $5.6k – $16.1k |
| 23 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $10.1k | $11.6k | $4.8k | 41% | — | $6.8k – $19.4k |
| 24 | First Health commercial|all plans fee schedule · inpatient | $11.7k | $13.4k | $5.5k | 41% | — | $7.8k – $22.4k |
| 25 | First Health commercial|all plans fee schedule · outpatient | $11.7k | $13.4k | $5.5k | 41% | — | $7.8k – $22.4k |
Last updated: Feb 28, 2026
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