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
SHEATH 4.2MM DILATOR VISISHEATH STERILE LATEX FREE DISPOSABLE
Macon, GA
See all hospitals reporting HCPCS C2629 →Price type
Central Georgia Rehabilitation LLC’s median price of $176 is 95% below the median hospital's median price ($3.5k), higher than 12% of the 877 hospitals reporting HCPCS C2629. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 16 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 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $79 | $79 | $2 | 3% | — | $77 – $81 |
| 2 | Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges | $125 | $125 | $4 | 3% | — | $121 – $129 |
| 3 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $134 | $134 | $4 | 3% | — | $130 – $138 |
| 4 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $155 | $155 | $4 | 3% | — | $150 – $159 |
| 5 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $155 | $155 | $4 | 3% | — | $150 – $159 |
| 6 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $171 | $171 | $5 | 3% | — | $166 – $176 |
| 7 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $171 | $171 | $5 | 3% | — | $166 – $176 |
| 8 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $171 | $171 | $5 | 3% | — | $166 – $176 |
| 9 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $171 | $171 | $5 | 3% | — | $166 – $176 |
| 10 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $173 | $173 | $5 | 3% | — | $168 – $178 |
| 11 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $180 | $180 | $5 | 3% | — | $175 – $185 |
| 12 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $181 | $181 | $5 | 3% | — | $176 – $186 |
| 13 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $210 | $210 | $6 | 3% | — | $204 – $216 |
| 14 | MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges | $210 | $210 | $6 | 3% | — | $204 – $216 |
| 15 | Beechstreet commercial percent of total billed charges · inpatientfrom % of charges | $244 | $244 | $7 | 3% | — | $237 – $251 |
| 16 | Beechstreet commercial percent of total billed charges · outpatientfrom % of charges | $244 | $244 | $7 | 3% | — | $237 – $251 |
Last updated: Nov 19, 2025
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