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
$85
Median
$13
High
$1.6k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 120.2× 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.
Filter by billing methodology
Filter by billing class
43 hospital rates
iThe hospitals that file a Medicaid 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 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $33 | $33 | $13 | 39% | — | $20 – $46 |
| 2 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 3 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $144 | $144 | $68 | 47% | — | $76 – $212 |
| 7 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Grossmont Hospital Corporation La Mesa, CA fee schedule · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 13 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 15 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 16 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $93 | $93 | $91 | 98% | — | $2 – $185 |
| 17 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 18 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $93 | $93 | $91 | 98% | — | $2 – $185 |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 20 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 2 | $93 | $93 | $91 | 98% | — | $2 – $185 |
| 21 | Mercy Hospital Paris Paris, AR facility · fee schedule · outpatient | 2 | $93 | $93 | $91 | 98% | — | $2 – $185 |
| 22 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $11 | $12 | $2 | 15% | — | $9 – $14 |
| 23 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 2 | $93 | $93 | $91 | 98% | — | $2 – $185 |
| 24 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 25 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 2 | $93 | $93 | $91 | 98% | — | $2 – $185 |
← Payers reporting HCPCS J1626 · Snapshot 20261111T120946Z-9134e7f7