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
Matrion 1 sq cm
Salem, OR
See all hospitals reporting HCPCS Q4201 →Price type
Salem Hospital’s median price of $155 is 11% above the median hospital's median price ($139), higher than 60% of the 1,053 hospitals reporting HCPCS Q4201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 4 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 | Kaiser medicare managed care plan fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 2 | Aetna medicare managed care plan fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 3 | Kaiser oebb other commercial plan fee schedule · outpatient | $277 | $277 | — | — | — | $277 – $277 |
| 4 | Kaiser all commercial plans fee schedule · outpatient | $445 | $445 | — | — | — | $445 – $445 |
Last updated: Apr 1, 2026
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