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
DRSG MATRIX 2 X 2
ST, LA
See all hospitals reporting HCPCS Q4108 →Price type
Kaplan General Hospital, Inc’s median price of $3.4k is 2515% above the median hospital's median price ($132), higher than 90% 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: 10 payers, 12 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 | Bcbs La all payor fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 2 | Bcbs La all payor other · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 3 | Optum all payor other · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 4 | WellCare all payor other · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 5 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 6 | Aetna all payor other · outpatient | $4.2k | $4.2k | $765 | 18% | — | $3.4k – $5.0k |
| 7 | Humana all payor other · outpatient | $4.7k | $4.7k | $1.3k | 27% | — | $3.4k – $5.9k |
| 8 | UnitedHealthcare all payor other · outpatient | $4.7k | $4.7k | $1.3k | 27% | — | $3.4k – $5.9k |
| 9 | Aetna all payor other · inpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 10 | Cigna all payor other · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 11 | Aetna Better Health all payor other · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 12 | Amerihealth Caritas all payor other · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
Last updated: Apr 1, 2026
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