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
CQ-Tissue Matrix 20x40cm X Thick 3.4-0.6mm Perforated Strattice 800sqcm
San Diego, CA
See all hospitals reporting HCPCS Q4130 →Price type
Sharp Memorial Hospital’s median price of $59 is 71% below the median hospital's median price ($202), higher than 17% 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: 11 payers, 74 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 | Aetna first health - direct fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Aetna first health - leased/ccn fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Blue Cross Blue Shield blue cross - prudent buyer fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Kaiser kaiser - hmo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Blue Cross Blue Shield blue cross - hmo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Blue Cross Blue Shield blue shield - hmo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Medicaid medi-cal fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 8 | UnitedHealthcare united healthcare - medicare fee schedule · outpatient | $1 | $1 | $0 | 2% | — | $1 – $1 |
| 9 | MultiPlan multiplan fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Optum optum health - commercial fee schedule · outpatient | $1 | $1 | $0 | 10% | — | $1 – $1 |
| 11 | Molina molina medi-cal fee schedule · outpatient | $1 | $1 | $0 | 7% | — | $1 – $1 |
| 12 | Blue Cross Blue Shield blue cross - mcs fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Blue Cross Blue Shield blue shield - ppo percent of total billed charges · inpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 14 | Aetna aetna - ppo percent of total billed charges · outpatientfrom % of charges | $37 | $38 | $18 | 46% | — | $14 – $65 |
| 15 | Molina molina - cal medi-connect percent of total billed charges · inpatientfrom % of charges | $41 | $41 | $23 | 55% | — | $14 – $67 |
| 16 | Blue Cross Blue Shield blue cross - prudent buyer percent of total billed charges · outpatientfrom % of charges | $38 | $41 | $21 | 50% | — | $11 – $67 |
| 17 | Aetna aetna whole health percent of total billed charges · inpatientfrom % of charges | $46 | $42 | $26 | 63% | — | $3 – $77 |
| 18 | Humana choice care network percent of total billed charges · inpatientfrom % of charges | $54 | $44 | $23 | 53% | — | $8 – $72 |
| 19 | Molina molina - cal medi-connect percent of total billed charges · outpatientfrom % of charges | $53 | $45 | $18 | 39% | — | $14 – $59 |
| 20 | Aetna aetna - ppo percent of total billed charges · inpatientfrom % of charges | $41 | $45 | $19 | 41% | — | $27 – $72 |
| 21 | Cigna cigna - hmo percent of total billed charges · outpatientfrom % of charges | $60 | $46 | $23 | 50% | — | $7 – $65 |
| 22 | Blue Cross Blue Shield blue cross - mcs percent of total billed charges · inpatientfrom % of charges | $46 | $47 | $23 | 49% | — | $18 – $77 |
| 23 | UnitedHealthcare united healthcare - hmo percent of total billed charges · outpatientfrom % of charges | $40 | $47 | $19 | 39% | — | $18 – $77 |
| 24 | Molina molina - exchange percent of total billed charges · inpatientfrom % of charges | $50 | $47 | $20 | 42% | — | $13 – $72 |
| 25 | Blue Cross Blue Shield blue cross - hmo percent of total billed charges · outpatientfrom % of charges | $54 | $48 | $9 | 20% | — | $36 – $58 |
Last updated: Apr 1, 2026
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