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
OCCLUS/EMBOL NON CNS PERM
Los Angeles, CA
See all hospitals reporting CPT 61626 →Price type
Dignity Community Care’s median price of $14.4k is 26% above the median hospital's median price ($11.5k), higher than 75% of the 1,888 hospitals reporting CPT 61626. 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, 22 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 3 | Anthem medicaid|all plans fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Molina medicaid|< 21 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Molina medicaid|> 21 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 7 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 8 | Aetna medicare|all plans fee schedule · outpatient | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 9 | Anthem medicare|all plans fee schedule · outpatient | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 10 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 11 | Molina medicare|all plans fee schedule · outpatient | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 12 | UnitedHealthcare medicare|all plans case rate · outpatient | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 13 | Anthem commercial|exchange case rate · outpatient | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
| 14 | Anthem commercial|all other plans case rate · outpatient | $23.6k | $23.6k | — | — | — | $23.6k – $23.6k |
| 15 | First Health commercial|all plans fee schedule · inpatient | $27.8k | $27.8k | — | — | — | $27.8k – $27.8k |
| 16 | First Health commercial|all plans fee schedule · outpatient | $27.8k | $27.8k | — | — | — | $27.8k – $27.8k |
| 17 | Kaiser commercial|all plans fee schedule · inpatient | $28.2k | $28.2k | — | — | — | $28.2k – $28.2k |
| 18 | Kaiser commercial|all plans fee schedule · outpatient | $28.2k | $28.2k | — | — | — | $28.2k – $28.2k |
| 19 | Anthem commercial|mcs case rate · outpatient | $29.0k | $29.0k | — | — | — | $29.0k – $29.0k |
| 20 | Blue Cross Blue Shield medicare|promise fee schedule · outpatient | $30.2k | $30.2k | — | — | — | $30.2k – $30.2k |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $31.8k | $31.8k | — | — | — | $31.8k – $31.8k |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $31.8k | $31.8k | — | — | — | $31.8k – $31.8k |
Last updated: Feb 28, 2026
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