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
EXC S/N/H/F/G MAL+MRG >4 CM
Mesa, AZ
See all hospitals reporting CPT 11626 →Price type
Agh Mesa Llc’s median price of $2.9k is 2% below the median hospital's median price ($3.0k), higher than 48% of the 1,970 hospitals reporting CPT 11626. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 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 medicaid|all plans fee schedule · outpatient | $304 | $304 | — | — | — | $304 – $304 |
| 2 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | Cigna commercial|all other plans case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 5 | Cigna commercial|ppo case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 6 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 7 | Aetna commercial|all other plans case rate · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 8 | Aetna commercial|ppo case rate · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 9 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 10 | Humana medicare|all plans fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 11 | WellCare medicare|all plans fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 12 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 13 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 15 | UnitedHealthcare commercial|options fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
Last updated: Feb 28, 2026
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