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
RHC EXC MAL S/N/HF >4.0CM
Merced, CA
See all hospitals reporting CPT 11626 →Price type
Dignity Health’s median price of $3.6k is 22% above the median hospital's median price ($3.0k), higher than 70% of the 1,970 hospitals reporting CPT 11626. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 32 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 | $309 | $309 | — | — | — | $309 – $309 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 3 | Molina medicaid|< 21 fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 4 | Molina medicaid|> 21 fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 5 | Anthem medicaid|< 21 fee schedule · outpatient | $445 | $445 | — | — | — | $445 – $445 |
| 6 | Anthem medicaid|> 21 fee schedule · outpatient | $445 | $445 | — | — | — | $445 – $445 |
| 7 | Aetna medicare|all plans fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 8 | Anthem medicare|all plans fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 9 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 10 | Humana medicare|all plans fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 11 | Kaiser medicare|all plans fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 12 | UnitedHealthcare medicare|all plans case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 13 | Cigna commercial|all other plans fee schedule · inpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 14 | Cigna commercial|all other plans fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 15 | Cigna commercial|ppo fee schedule · inpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 17 | Anthem commercial|exchange case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 18 | Kaiser commercial|all plans fee schedule · inpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 19 | Kaiser commercial|all plans fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 20 | First Health commercial|all plans fee schedule · inpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 21 | First Health commercial|all plans fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 22 | Aetna commercial|all other plans case rate · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 23 | Aetna commercial|hmo case rate · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 24 | Aetna commercial|ppo case rate · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 25 | Anthem commercial|all other plans case rate · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
Last updated: Feb 28, 2026
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