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
Phoenix, AZ
See all hospitals reporting HCPCS C2624 →Price type
Dignity Health’s median price of $30.9k is 6% below the median hospital's median price ($33.0k), higher than 45% 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: 7 payers, 13 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 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 2 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 3 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 4 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 5 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $7.6k | $7.8k | $626 | 8% | — | $7.2k – $8.7k |
| 6 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $10.3k | $10.6k | $850 | 8% | — | $9.8k – $11.9k |
| 7 | Aetna commercial|all plans fee schedule · outpatient | $22.1k | $22.2k | $1.7k | 8% | — | $20.1k – $24.3k |
| 8 | Optum commercial|optumhealth fee schedule · outpatient | $25.5k | $26.1k | $2.1k | 8% | — | $24.2k – $29.3k |
| 9 | Cigna commercial|lifesource fee schedule · outpatient | $29.8k | $30.6k | $2.5k | 8% | — | $28.4k – $34.3k |
| 10 | First Health commercial|all plans fee schedule · inpatient | $37.9k | $38.9k | $3.1k | 8% | — | $36.1k – $43.7k |
| 11 | First Health commercial|all plans fee schedule · outpatient | $37.9k | $38.9k | $3.1k | 8% | — | $36.1k – $43.7k |
| 12 | MultiPlan commercial|all plans fee schedule · inpatient | $42.8k | $43.9k | $3.5k | 8% | — | $40.7k – $49.3k |
| 13 | MultiPlan commercial|all plans fee schedule · outpatient | $42.8k | $43.9k | $3.5k | 8% | — | $40.7k – $49.3k |
Last updated: Feb 28, 2026
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