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
HMATRIX 5X4CM 561X-730
Mt Shasta, CA
See all hospitals reporting HCPCS Q4134 →Price type
Dignity Health’s median price of $2.3k is 1179% above the median hospital's median price ($176), higher than 97% of the 802 hospitals reporting HCPCS Q4134. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 26 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 | Aetna medicare|all plans fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 5 | Kaiser medicare|all plans fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 7 | Anthem medicaid|all plans fee schedule · inpatient | $688 | $688 | — | — | — | $688 – $688 |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $688 | $688 | — | — | — | $688 – $688 |
| 9 | Anthem commercial|exchange fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 10 | Anthem commercial|all other plans fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 11 | Cigna commercial|all other plans fee schedule · inpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 12 | Cigna commercial|all other plans fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 13 | Cigna commercial|ppo fee schedule · inpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 14 | Cigna commercial|ppo fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 15 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 16 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 17 | Aetna commercial|all other plans fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 18 | Aetna commercial|hmo fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | Aetna commercial|ppo fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 20 | Aetna commercial|all other plans fee schedule · inpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 21 | Aetna commercial|hmo fee schedule · inpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 22 | Aetna commercial|ppo fee schedule · inpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 23 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 24 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
Last updated: Feb 28, 2026
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