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
1233329 - PACEMAKER PERCEPTA QD MRI SURESCAN RADOPQ GRMT 11MM 19.5CC
Summit, WI
See all hospitals reporting HCPCS C2621 →Price type
Aurora Medical Center Summit’s median price of $11.6k is 4% below the median hospital's median price ($12.2k), higher than 46% of the 1,254 hospitals reporting HCPCS C2621. 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, 21 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 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
Last updated: Nov 21, 2025
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