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 1 SQ CM
Georgetown, TX
See all hospitals reporting HCPCS Q4130 →Price type
St. David's Georgetown Hospital’s median price of $1.2k is 500% above the median hospital's median price ($202), higher than 61% 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: 10 payers, 41 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 narrownetworkhix fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 2 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 3 | UnitedHealthcare smallgroup fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 4 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $284 | $284 | — | — | — | $284 – $284 |
| 5 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $284 | $284 | — | — | — | $284 – $284 |
| 6 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $284 | $284 | — | — | — | $284 – $284 |
| 7 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $284 | $284 | — | — | — | $284 – $284 |
| 8 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Oscar hmo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Cigna openaccess percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 20 | Aetna narrownetwork percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 21 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 22 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 23 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 24 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 25 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $462 | $3.2k | $4.8k | 151% | — | $49 – $13.7k |
Last updated: Sep 1, 2026
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