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
1038415 - TRAY SPBC 14FR 12FR FOLEY CATH NDL INTRO COLLECTION BAG
Chicago, IL
See all hospitals reporting HCPCS C2627 →Price type
Advocate Trinity Hospital’s median price of $621 is 228% above the median hospital's median price ($189), higher than 88% of the 1,266 hospitals reporting HCPCS C2627. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 commercial percent of total billed charges · outpatientfrom % of charges | $377 | $420 | $99 | 24% | — | $326 – $556 |
| 2 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $504 | $504 | — | — | — | $504 – $504 |
| 3 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $551 | $551 | $65 | 12% | — | $485 – $616 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $644 | $644 | — | — | — | $644 – $644 |
| 5 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $651 | $651 | $26 | 4% | — | $625 – $677 |
| 6 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $658 | $658 | — | — | — | $658 – $658 |
| 7 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $670 | $670 | — | — | — | $670 – $670 |
| 8 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $712 | $712 | — | — | — | $712 – $712 |
| 9 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $747 | $747 | — | — | — | $747 – $747 |
| 10 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $747 | $747 | — | — | — | $747 – $747 |
Last updated: Nov 4, 2025
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