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
SYSTEM DRG DLV 4ML/HR ON
Low
$73
Average
$537
Median
$491
High
$982
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 7 hospitals; the 90th percentile is 3.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Hca Healthone Mountain Ridge Thornton, CO | $350 | $350 | — | — | — | $350 – $4.7k |
| 2 | Hca Healthone Northeast Er THORNTON, CO | $350 | $350 | — | — | — | $350 – $4.7k |
| 3 | Dukes Health System LLC Peru, IN | $491 | $491 | — | — | — | $245 – $2.5k |
| 4 | Manatee Memorial Hospital Bradenton, FL | $673 | $602 | $88 | 15% | — | $474 – $673 |
| 5 | Lakewood Ranch Lakewood Ranch, FL | $1.0k | $982 | $188 | 19% | — | $735 – $1.2k |
| 6 | Ochsner American Legion Hospital, LLC Jennings, LA | $908 | $908 | — | — | — | $31 – $18.1k |
| 7 | Banner Thunderbird Medical Center Glendale, AZ | $73 | $73 | — | — | — | $73 – $32.9k |
Ask Claude or any MCP client for HCPCS C2626 pricing at a specific hospital — see how to connect.