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
Folsom, CA
See all hospitals reporting HCPCS C2624 →Price type
Dignity Health’s median price of $67.8k is 105% above the median hospital's median price ($33.0k), higher than 86% of the 874 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, 33 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 | $24.9k | $24.9k | $1.9k | 8% | — | $22.6k – $27.3k |
| 2 | Kaiser medicaid|all plans fee schedule · inpatient | $24.9k | $24.9k | $1.9k | 8% | — | $22.6k – $27.3k |
| 3 | Kaiser medicare|all plans fee schedule · inpatient | $24.9k | $24.9k | $1.9k | 8% | — | $22.6k – $27.3k |
| 4 | Anthem medicaid|all plans fee schedule · inpatient | $25.9k | $26.0k | $2.0k | 8% | — | $23.6k – $28.5k |
| 5 | Anthem medicaid|all plans fee schedule · outpatient | $25.9k | $26.0k | $2.0k | 8% | — | $23.6k – $28.5k |
| 6 | Molina medicaid|all plans fee schedule · inpatient | $28.1k | $28.2k | $2.2k | 8% | — | $25.5k – $30.9k |
| 7 | Molina medicaid|all plans fee schedule · outpatient | $28.1k | $28.2k | $2.2k | 8% | — | $25.5k – $30.9k |
| 8 | Kaiser medicaid|all plans fee schedule · outpatient | $42.3k | $35.7k | $15.4k | 43% | — | $9.6k – $48.7k |
| 9 | Cigna commercial|localplus fee schedule · inpatient | $43.2k | $43.4k | $3.4k | 8% | — | $39.3k – $47.5k |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $57.3k | $57.4k | $4.5k | 8% | — | $52.1k – $63.0k |
| 11 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $66.0k | $57.9k | $20.4k | 35% | — | $23.5k – $76.1k |
| 12 | Cigna commercial|localplus fee schedule · outpatient | $59.4k | $59.6k | $4.6k | 8% | — | $54.0k – $65.4k |
| 13 | First Health commercial|all plans fee schedule · inpatient | $77.4k | $65.4k | $28.1k | 43% | — | $17.6k – $89.1k |
| 14 | First Health commercial|all plans fee schedule · outpatient | $77.4k | $65.4k | $28.1k | 43% | — | $17.6k – $89.1k |
| 15 | Kaiser commercial|all plans fee schedule · outpatient | $81.5k | $68.9k | $29.6k | 43% | — | $18.6k – $93.9k |
| 16 | MultiPlan commercial|all plans fee schedule · inpatient | $84.6k | $71.5k | $30.7k | 43% | — | $19.3k – $97.5k |
| 17 | MultiPlan commercial|all plans fee schedule · outpatient | $84.6k | $71.5k | $30.7k | 43% | — | $19.3k – $97.5k |
| 18 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $71.3k | $71.5k | $5.6k | 8% | — | $64.8k – $78.4k |
| 19 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $73.5k | $73.7k | $5.7k | 8% | — | $66.8k – $80.8k |
| 20 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $75.6k | $75.9k | $5.9k | 8% | — | $68.8k – $83.2k |
| 21 | Cigna commercial|all other plans fee schedule · outpatient | $80.0k | $80.2k | $6.2k | 8% | — | $72.7k – $88.0k |
| 22 | Anthem commercial|connection epo fee schedule · outpatient | $85.4k | $85.6k | $6.7k | 8% | — | $77.6k – $93.9k |
| 23 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $91.8k | $92.1k | $7.2k | 8% | — | $83.5k – $101.0k |
| 24 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $91.8k | $92.1k | $7.2k | 8% | — | $83.5k – $101.0k |
| 25 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $97.2k | $97.5k | $7.6k | 8% | — | $88.4k – $107.0k |
Last updated: Feb 28, 2026
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