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
CATH OCCLUSION 254X-331
Carmichael, CA
See all hospitals reporting HCPCS C2628 →Price type
Dignity Health’s median price of $829 is 38% below the median hospital's median price ($1.3k), higher than 32% of the 1,340 hospitals reporting HCPCS C2628. 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, 34 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 commercial|all plans fee schedule · inpatient | $381 | $1.0k | $1.4k | 138% | — | $26 – $5.3k |
| 2 | Kaiser medicaid|all plans fee schedule · inpatient | $381 | $1.0k | $1.4k | 138% | — | $26 – $5.3k |
| 3 | Kaiser medicare|all plans fee schedule · inpatient | $381 | $1.0k | $1.4k | 138% | — | $26 – $5.3k |
| 4 | Anthem medicaid|all plans fee schedule · inpatient | $397 | $1.1k | $1.5k | 138% | — | $28 – $5.5k |
| 5 | Anthem medicaid|all plans fee schedule · outpatient | $397 | $1.1k | $1.5k | 138% | — | $28 – $5.5k |
| 6 | Molina medicaid|all plans fee schedule · inpatient | $430 | $1.2k | $1.6k | 138% | — | $30 – $6.0k |
| 7 | Molina medicaid|all plans fee schedule · outpatient | $430 | $1.2k | $1.6k | 138% | — | $30 – $6.0k |
| 8 | Cigna commercial|localplus fee schedule · inpatient | $662 | $1.8k | $2.5k | 138% | — | $46 – $9.2k |
| 9 | Kaiser medicaid|all plans fee schedule · outpatient | $679 | $1.8k | $2.5k | 138% | — | $47 – $9.4k |
| 10 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $861 | $2.3k | $3.2k | 138% | — | $60 – $11.9k |
| 11 | Cigna commercial|all other plans fee schedule · inpatient | $877 | $2.4k | $3.3k | 138% | — | $61 – $12.2k |
| 12 | Kaiser commercial|all plans fee schedule · outpatient | $894 | $2.4k | $3.3k | 138% | — | $62 – $12.4k |
| 13 | Cigna commercial|localplus fee schedule · outpatient | $910 | $2.5k | $3.4k | 138% | — | $63 – $12.6k |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $927 | $2.5k | $3.5k | 138% | — | $64 – $12.8k |
| 15 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $927 | $2.5k | $3.5k | 138% | — | $64 – $12.8k |
| 16 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $927 | $2.5k | $3.5k | 138% | — | $64 – $12.8k |
| 17 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $1.1k | $2.9k | $4.0k | 138% | — | $75 – $14.9k |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $1.2k | $3.3k | $4.6k | 138% | — | $85 – $17.0k |
| 19 | First Health commercial|all plans fee schedule · inpatient | $1.2k | $3.4k | $4.6k | 138% | — | $86 – $17.2k |
| 20 | First Health commercial|all plans fee schedule · outpatient | $1.2k | $3.4k | $4.6k | 138% | — | $86 – $17.2k |
| 21 | Anthem commercial|connection epo fee schedule · outpatient | $1.3k | $3.5k | $4.8k | 138% | — | $90 – $17.9k |
| 22 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $1.4k | $3.7k | $5.1k | 138% | — | $94 – $18.8k |
| 23 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $1.4k | $3.7k | $5.1k | 138% | — | $94 – $18.8k |
| 24 | MultiPlan commercial|all plans fee schedule · inpatient | $1.4k | $3.7k | $5.1k | 138% | — | $95 – $19.0k |
| 25 | MultiPlan commercial|all plans fee schedule · outpatient | $1.4k | $3.7k | $5.1k | 138% | — | $95 – $19.0k |
Last updated: Feb 28, 2026
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