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
11626 EXC S/N/H/F/G MAL+MRG >4 CM
Bluffton, IN
See all hospitals reporting CPT 11626 →Price type
Bluffton Health System LLC’s median price of $880 is 70% below the median hospital's median price ($3.0k), higher than 19% of the 1,992 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: 10 payers, 26 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 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $338 | $348 | $33 | 9% | — | $315 – $399 |
| 2 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $378 | $388 | $36 | 9% | — | $352 – $446 |
| 3 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $386 | $397 | $37 | 9% | — | $360 – $456 |
| 4 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $386 | $397 | $37 | 9% | — | $360 – $456 |
| 5 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $386 | $397 | $37 | 9% | — | $360 – $456 |
| 6 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $386 | $397 | $37 | 9% | — | $360 – $456 |
| 7 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $476 | $489 | $46 | 9% | — | $444 – $562 |
| 8 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $476 | $489 | $46 | 9% | — | $444 – $562 |
| 9 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $499 | $513 | $48 | 9% | — | $466 – $589 |
| 10 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $854 | $878 | $82 | 9% | — | $796 – $1.0k |
| 11 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $854 | $878 | $82 | 9% | — | $796 – $1.0k |
| 12 | First Health first health non-exclusive facility · percent of total billed charges · inpatientfrom % of charges | $918 | $943 | $89 | 9% | — | $856 – $1.1k |
| 13 | First Health first health non-exclusive facility · percent of total billed charges · outpatientfrom % of charges | $918 | $943 | $89 | 9% | — | $856 – $1.1k |
| 14 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 15 | Aetna node aetna mcr adv facility · other · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 16 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 17 | Anthem anthem in hip facility · fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 18 | Humana node humana choicecare mcr adv facility · fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 19 | Optum node united optum va ccn facility · per diem · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 20 | Caresource node caresource mcr adv facility · fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 21 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 22 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 23 | Anthem anthem in work comp facility · other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 24 | Anthem anthem in marketplace stld facility · fee schedule · outpatient | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 25 | Anthem anthem in healthsync facility · fee schedule · outpatient | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
Last updated: Apr 1, 2026
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