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 4X5IN 2087X-2714
Phoenix, AZ
See all hospitals reporting HCPCS Q4108 →Price type
Dignity Health’s median price of $3.9k is 2886% above the median hospital's median price ($132), higher than 91% of the 1,390 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: 7 payers, 16 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 2 | Cigna commercial|exchange fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 3 | Cigna commercial|localplus surefit fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 4 | Cigna commercial|all other plans fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 5 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $241 | $241 | — | — | — | $241 – $241 |
| 6 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $241 | $241 | — | — | — | $241 – $241 |
| 7 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 8 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 9 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $1.7k | $2.0k | $728 | 37% | — | $1.1k – $3.3k |
| 10 | Aetna commercial|all plans fee schedule · outpatient | $3.5k | $4.0k | $1.5k | 37% | — | $2.3k – $6.7k |
| 11 | Optum commercial|optumhealth fee schedule · outpatient | $4.2k | $4.8k | $1.8k | 37% | — | $2.8k – $8.1k |
| 12 | Cigna commercial|lifesource fee schedule · outpatient | $4.9k | $5.7k | $2.1k | 37% | — | $3.3k – $9.4k |
| 13 | First Health commercial|all plans fee schedule · inpatient | $6.3k | $7.2k | $2.7k | 37% | — | $4.2k – $12.0k |
| 14 | First Health commercial|all plans fee schedule · outpatient | $6.3k | $7.2k | $2.7k | 37% | — | $4.2k – $12.0k |
| 15 | MultiPlan commercial|all plans fee schedule · inpatient | $7.1k | $8.1k | $3.0k | 37% | — | $4.7k – $13.5k |
| 16 | MultiPlan commercial|all plans fee schedule · outpatient | $7.1k | $8.1k | $3.0k | 37% | — | $4.7k – $13.5k |
Last updated: Feb 28, 2026
See Integra dermal matrix skin substitute pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.