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 4X2CM 195X-254
Phoenix, AZ
See all hospitals reporting HCPCS Q4134 →Price type
Dignity Health’s median price of $799 is 353% above the median hospital's median price ($176), higher than 90% 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: 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna commercial|exchange fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 2 | Cigna commercial|localplus surefit fee schedule · outpatient | $216 | $216 | — | — | — | $216 – $216 |
| 3 | Cigna commercial|all other plans fee schedule · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 4 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $266 | $726 | $1.1k | 149% | — | $98 – $3.1k |
| 5 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $934 | $891 | $86 | 10% | — | $699 – $934 |
| 6 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $934 | $891 | $86 | 10% | — | $699 – $934 |
| 7 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $360 | $985 | $1.5k | 149% | — | $133 – $4.2k |
| 8 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $1.2k | $1.1k | $211 | 19% | — | $699 – $1.2k |
| 9 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $1.5k | $1.4k | $475 | 34% | — | $699 – $1.8k |
| 10 | Aetna commercial|all plans fee schedule · outpatient | $740 | $2.0k | $3.0k | 149% | — | $273 – $8.7k |
| 11 | Optum commercial|optumhealth fee schedule · outpatient | $892 | $2.4k | $3.6k | 149% | — | $329 – $10.5k |
| 12 | Cigna commercial|lifesource fee schedule · outpatient | $1.0k | $2.9k | $4.2k | 149% | — | $384 – $12.3k |
| 13 | First Health commercial|all plans fee schedule · inpatient | $1.3k | $3.6k | $5.4k | 149% | — | $489 – $15.6k |
| 14 | First Health commercial|all plans fee schedule · outpatient | $1.3k | $3.6k | $5.4k | 149% | — | $489 – $15.6k |
| 15 | MultiPlan commercial|all plans fee schedule · inpatient | $1.5k | $4.1k | $6.1k | 149% | — | $552 – $17.6k |
| 16 | MultiPlan commercial|all plans fee schedule · outpatient | $1.5k | $4.1k | $6.1k | 149% | — | $552 – $17.6k |
Last updated: Feb 28, 2026
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