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
WRLESS SENS 21611X-23772
Glendale, CA
See all hospitals reporting HCPCS C2624 →Price type
Dignity Community Care’s median price of $48.7k is 48% above the median hospital's median price ($33.0k), higher than 74% of the 873 hospitals reporting HCPCS C2624. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 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 | Molina medicaid|all plans fee schedule · inpatient | $27.3k | $27.3k | — | — | — | $27.3k – $27.3k |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $27.3k | $27.3k | — | — | — | $27.3k – $27.3k |
| 3 | Anthem medicaid|all plans fee schedule · inpatient | $29.7k | $29.7k | — | — | — | $29.7k – $29.7k |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $29.7k | $29.7k | — | — | — | $29.7k – $29.7k |
| 5 | Cigna commercial|all other plans fee schedule · inpatient | $35.7k | $35.7k | — | — | — | $35.7k – $35.7k |
| 6 | Cigna commercial|ppo fee schedule · inpatient | $35.7k | $35.7k | — | — | — | $35.7k – $35.7k |
| 7 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $60.6k | $60.6k | — | — | — | $60.6k – $60.6k |
| 8 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $61.8k | $61.8k | — | — | — | $61.8k – $61.8k |
| 9 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $61.8k | $61.8k | — | — | — | $61.8k – $61.8k |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $65.4k | $65.4k | — | — | — | $65.4k – $65.4k |
| 11 | Kaiser commercial|all plans fee schedule · inpatient | $66.6k | $66.6k | — | — | — | $66.6k – $66.6k |
| 12 | Kaiser commercial|all plans fee schedule · outpatient | $66.6k | $66.6k | — | — | — | $66.6k – $66.6k |
| 13 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $71.3k | $71.3k | — | — | — | $71.3k – $71.3k |
| 14 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $71.3k | $71.3k | — | — | — | $71.3k – $71.3k |
| 15 | First Health commercial|all plans fee schedule · inpatient | $77.3k | $77.3k | — | — | — | $77.3k – $77.3k |
| 16 | First Health commercial|all plans fee schedule · outpatient | $77.3k | $77.3k | — | — | — | $77.3k – $77.3k |
| 17 | Cigna commercial|all other plans fee schedule · outpatient | $80.8k | $80.8k | — | — | — | $80.8k – $80.8k |
| 18 | Cigna commercial|ppo fee schedule · outpatient | $80.8k | $80.8k | — | — | — | $80.8k – $80.8k |
| 19 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $89.1k | $89.1k | — | — | — | $89.1k – $89.1k |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $95.1k | $95.1k | — | — | — | $95.1k – $95.1k |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $95.1k | $95.1k | — | — | — | $95.1k – $95.1k |
| 22 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $102.2k | $102.2k | — | — | — | $102.2k – $102.2k |
| 23 | Anthem commercial|mcs fee schedule · inpatient | $112.9k | $112.9k | — | — | — | $112.9k – $112.9k |
| 24 | Anthem commercial|non-mcs fee schedule · inpatient | $112.9k | $112.9k | — | — | — | $112.9k – $112.9k |
| 25 | Aetna commercial|all other plans fee schedule · inpatient | $117.7k | $117.7k | — | — | — | $117.7k – $117.7k |
Last updated: Feb 28, 2026
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