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
STRATTICE TM 1SQCM
SAN ANTONIO, TX
See all hospitals reporting HCPCS Q4130 →Price type
Methodist Hospital’s median price of $680 is 236% above the median hospital's median price ($202), higher than 60% of the 1,242 hospitals reporting HCPCS Q4130. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 17 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 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 2 | UnitedHealthcare charter fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 3 | UnitedHealthcare nexusaco fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 4 | UnitedHealthcare smallgroup fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 5 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $846 | $1.1k | $1.0k | 93% | — | $110 – $2.8k |
| 6 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $975 | $1.3k | $1.2k | 93% | — | $126 – $3.3k |
| 7 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $978 | $1.3k | $1.2k | 93% | — | $127 – $3.3k |
| 8 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $995 | $1.3k | $1.2k | 93% | — | $129 – $3.3k |
| 9 | Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.6k | $1.4k | 93% | — | $153 – $3.9k |
| 10 | Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.6k | $1.5k | 93% | — | $160 – $4.1k |
| 11 | Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.6k | $1.5k | 93% | — | $160 – $4.1k |
| 12 | Blue Cross Blue Shield healthselectopenaccess(eposoa) percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.8k | $1.6k | 93% | — | $175 – $4.5k |
| 13 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.9k | $1.8k | 93% | — | $190 – $4.9k |
| 14 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $1.7k | $2.2k | $2.1k | 93% | — | $219 – $5.6k |
| 15 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $2.5k | $3.3k | $3.1k | 93% | — | $328 – $8.4k |
| 16 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $2.9k | $3.8k | $3.5k | 93% | — | $371 – $9.6k |
| 17 | Optum mcd percent of total billed charges · outpatientfrom % of charges | $3.4k | $4.4k | $4.1k | 93% | — | $437 – $11.3k |
Last updated: May 1, 2026
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