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
DRSNG MIRRAGEN 4X4IN MWM-0404SB
Enumclaw, WA
See all hospitals reporting HCPCS A2002 →Price type
Enumclaw Regional Hospital Association’s median price of $662 is 251% above the median hospital's median price ($189), higher than 93% of the 769 hospitals reporting HCPCS A2002. 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, 19 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 medicare|all plans fee schedule · outpatient | $512 | $512 | $102 | 20% | — | $410 – $613 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $512 | $512 | $102 | 20% | — | $411 – $614 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $515 | $515 | $102 | 20% | — | $413 – $617 |
| 4 | Optum medicare|all plans fee schedule · outpatient | $517 | $517 | $103 | 20% | — | $414 – $619 |
| 5 | Premera medicare|all plans fee schedule · outpatient | $527 | $527 | $105 | 20% | — | $423 – $632 |
| 6 | Regence medicare|all plans fee schedule · outpatient | $527 | $527 | $105 | 20% | — | $423 – $632 |
| 7 | Humana medicare|all plans fee schedule · outpatient | $548 | $548 | $109 | 20% | — | $439 – $656 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $553 | $553 | $110 | 20% | — | $443 – $662 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $553 | $553 | $110 | 20% | — | $443 – $662 |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $626 | $626 | $124 | 20% | — | $501 – $750 |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $844 | $844 | $167 | 20% | — | $677 – $1.0k |
| 12 | Molina medicaid|all plans fee schedule · inpatient | $848 | $848 | $168 | 20% | — | $680 – $1.0k |
| 13 | Molina commercial|marketplace exchange fee schedule · outpatient | $983 | $983 | $195 | 20% | — | $788 – $1.2k |
| 14 | Aetna commercial|awh fee schedule · inpatient | $1.1k | $1.1k | $226 | 20% | — | $912 – $1.4k |
| 15 | Aetna commercial|all other plans fee schedule · inpatient | $1.4k | $1.4k | $271 | 20% | — | $1.1k – $1.6k |
| 16 | Aetna commercial|rental fee schedule · inpatient | $2.0k | $2.0k | $406 | 20% | — | $1.6k – $2.5k |
| 17 | Aetna commercial|rental fee schedule · outpatient | $2.0k | $2.0k | $406 | 20% | — | $1.6k – $2.5k |
| 18 | MultiPlan commercial|all plans fee schedule · inpatient | $2.6k | $2.6k | $508 | 20% | — | $2.1k – $3.1k |
| 19 | MultiPlan commercial|all plans fee schedule · outpatient | $2.6k | $2.6k | $508 | 20% | — | $2.1k – $3.1k |
Last updated: Feb 28, 2026
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