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
$2
Average
$81
Median
$7
High
$763
Each hospital's average Premera rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 29.7× 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
12 hospital rates
iThe hospitals that file a Premera 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $51 | $62 | $33 | 54% | 2–20 | $27 – $143 |
| 2 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $69 | $69 | $40 | 58% | — | $29 – $109 |
| 3 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 4 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | $15 | 60% | — | $10 – $39 |
| 6 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 9 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 10 | St Mary Medical Center Langhorne, PA facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 11 | St Peters Hospital Albany, NY facility · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | St. Joseph's Mercy Hospital, Centerville Centerville, IA facility · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
← Payers reporting HCPCS J1626 · Snapshot 20261111T120946Z-9134e7f7