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
CYGNUS MATRIX PER SQ CM LVL 2
Duluth, GA
See all hospitals reporting HCPCS Q4199 →Price type
Northside Hospital, Inc.’s median price of $258 is 4% above the median hospital's median price ($247), higher than 53% of the 1,068 hospitals reporting HCPCS Q4199. 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, 70 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 | Caresource caresource other · outpatient | $107 | $107 | $73 | 69% | — | $34 – $180 |
| 2 | Tricare tricare fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 3 | Cigna cigna healthsprings medicare advantage other · outpatient | $142 | $142 | $98 | 69% | — | $45 – $240 |
| 4 | Blue Cross Blue Shield bcbs_pathway other · outpatient | $149 | $149 | $102 | 69% | — | $47 – $252 |
| 5 | Blue Cross Blue Shield bcbs_pathway-l other · outpatient | $149 | $149 | $102 | 69% | — | $47 – $252 |
| 6 | Blue Cross Blue Shield blue hpn other · outpatient | $231 | $231 | $158 | 69% | — | $73 – $390 |
| 7 | Blue Cross Blue Shield blue hpn-l other · outpatient | $231 | $231 | $158 | 69% | — | $73 – $390 |
| 8 | Blue Cross Blue Shield bcbs_hmo other · outpatient | $300 | $300 | $206 | 69% | — | $95 – $506 |
| 9 | Blue Cross Blue Shield bcbs_hmo-l other · outpatient | $300 | $300 | $206 | 69% | — | $95 – $506 |
| 10 | Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges | $305 | $305 | $209 | 69% | — | $96 – $514 |
| 11 | Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges | $305 | $305 | $209 | 69% | — | $96 – $514 |
| 12 | Aetna aetna hmo/pos/ppo fee schedule · outpatient | $310 | $310 | $52 | 17% | — | $258 – $361 |
| 13 | Aetna aetna hmo/pos/ppo-g fee schedule · outpatient | $310 | $310 | $52 | 17% | — | $258 – $361 |
| 14 | Aetna aetna hmo/pos/ppo-q fee schedule · outpatient | $310 | $310 | $52 | 17% | — | $258 – $361 |
| 15 | Blue Cross Blue Shield bcbs_ppo other · outpatient | $356 | $356 | $244 | 69% | — | $112 – $600 |
| 16 | Blue Cross Blue Shield bcbs_ppo-l other · outpatient | $356 | $356 | $244 | 69% | — | $112 – $600 |
| 17 | UnitedHealthcare uhc ga individual exchange fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 18 | UnitedHealthcare uhc heritage select fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 19 | UnitedHealthcare uhc hmo/pos/ppo fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 20 | UnitedHealthcare uhc hmo/pos/ppo-g fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 21 | UnitedHealthcare uhc hmo/pos/ppo-t fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 22 | Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges | $410 | $410 | $281 | 69% | — | $129 – $691 |
| 23 | Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges | $410 | $410 | $281 | 69% | — | $129 – $691 |
| 24 | Oscar oscar percent of total billed charges · inpatientfrom % of charges | $410 | $410 | $281 | 69% | — | $129 – $691 |
| 25 | Oscar oscar percent of total billed charges · outpatientfrom % of charges | $410 | $410 | $281 | 69% | — | $129 – $691 |
Last updated: Feb 14, 2026
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