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 2714X-3529
Folsom, CA
See all hospitals reporting HCPCS Q4114 →Price type
Dignity Health’s median price of $7.1k is 130% above the median hospital's median price ($3.1k), higher than 87% 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, 35 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 commercial|connection epo fee schedule · outpatient | $786 | $786 | — | — | — | $786 – $786 |
| 2 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $897 | $897 | — | — | — | $897 – $897 |
| 3 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $897 | $897 | — | — | — | $897 – $897 |
| 4 | Anthem commercial|all other plans fee schedule · outpatient | $983 | $983 | — | — | — | $983 – $983 |
| 5 | Anthem commercial|mcs fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Molina medicaid|all plans fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | Anthem medicaid|all plans fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 9 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 10 | Cigna commercial|localplus fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 11 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 12 | Cigna commercial|all other plans fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $4.7k | $4.8k | $1.4k | 29% | — | $3.1k – $6.9k |
| 14 | Kaiser medicaid|all plans fee schedule · inpatient | $4.7k | $4.8k | $1.4k | 29% | — | $3.1k – $6.9k |
| 15 | Kaiser medicare|all plans fee schedule · inpatient | $4.7k | $4.8k | $1.4k | 29% | — | $3.1k – $6.9k |
| 16 | Anthem medicaid|all plans fee schedule · inpatient | $4.9k | $5.0k | $1.5k | 29% | — | $3.3k – $7.2k |
| 17 | Molina medicaid|all plans fee schedule · inpatient | $5.3k | $5.5k | $1.6k | 29% | — | $3.5k – $7.8k |
| 18 | Cigna commercial|localplus fee schedule · inpatient | $8.1k | $8.4k | $2.4k | 29% | — | $5.4k – $11.9k |
| 19 | Kaiser medicaid|all plans fee schedule · outpatient | $8.3k | $8.6k | $2.5k | 29% | — | $5.6k – $12.2k |
| 20 | Cigna commercial|all other plans fee schedule · inpatient | $10.8k | $11.1k | $3.2k | 29% | — | $7.2k – $15.8k |
| 21 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $14.2k | $14.7k | $4.3k | 29% | — | $9.5k – $20.9k |
| 22 | First Health commercial|all plans fee schedule · inpatient | $15.2k | $15.7k | $4.6k | 29% | — | $10.2k – $22.4k |
| 23 | First Health commercial|all plans fee schedule · outpatient | $15.2k | $15.7k | $4.6k | 29% | — | $10.2k – $22.4k |
| 24 | Kaiser commercial|all plans fee schedule · outpatient | $16.0k | $16.6k | $4.8k | 29% | — | $10.7k – $23.6k |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $16.6k | $17.2k | $5.0k | 29% | — | $11.1k – $24.5k |
Last updated: Feb 28, 2026
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