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
J1626
Low
$0
Average
$47
Median
$4
High
$763
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 13.5× 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.
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20 hospital rates
iThe hospitals that file a Excellus rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $21 | $12 | 57% | — | $9 – $33 |
| 2 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $0 | $3 | $5 | 135% | — | $0 – $10 |
| 3 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 5 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | $15 | 60% | — | $10 – $39 |
| 7 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $5 | $5 | $4 | 97% | — | $0 – $9 |
| 10 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $6 | $6 | $6 | 97% | — | $0 – $12 |
| 11 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 12 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | St Josephs Hospital Health Center Syracuse, NY facility · fee schedule · both | 3 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | St Mary Medical Center Langhorne, PA facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | St Peters Hospital Albany, NY facility · fee schedule · both | 4 | $1 | $4 | $4 | 101% | — | $1 – $10 |
| 16 | St. Joseph's Mercy Hospital, Centerville Centerville, IA facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 17 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 3 | $0 | $4 | $6 | 136% | — | $0 – $12 |
| 18 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $10 | $10 | $10 | 99% | — | $0 – $20 |
| 19 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · inpatientfrom % of charges | 2 | $0 | $0 | $0 | 29% | — | $0 – $0 |
| 20 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $0 | $0 | $0 | 50% | — | $0 – $0 |
← Payers reporting HCPCS J1626 · Snapshot 20261111T120946Z-9134e7f7