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
BLLN MOLD OCCL 10-37MM 4X90CM MOB37
Enumclaw, WA
See all hospitals reporting HCPCS C2628 →Price type
Enumclaw Regional Hospital Association’s median price of $2.1k is 61% above the median hospital's median price ($1.3k), higher than 73% of the 1,346 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: 10 payers, 24 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 | $1.5k | $2.7k | $5.2k | 188% | — | $228 – $21.7k |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $1.5k | $2.7k | $5.2k | 188% | — | $228 – $21.7k |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $1.5k | $2.8k | $5.2k | 188% | — | $229 – $21.9k |
| 4 | Optum medicare|all plans fee schedule · outpatient | $1.5k | $2.8k | $5.2k | 188% | — | $230 – $21.9k |
| 5 | Premera medicare|all plans fee schedule · outpatient | $1.6k | $2.8k | $5.3k | 188% | — | $235 – $22.4k |
| 6 | Regence medicare|all plans fee schedule · outpatient | $1.6k | $2.8k | $5.3k | 188% | — | $235 – $22.4k |
| 7 | Humana medicare|all plans fee schedule · outpatient | $1.6k | $2.9k | $5.5k | 188% | — | $244 – $23.2k |
| 8 | Molina medicare|all plans fee schedule · outpatient | $1.6k | $3.0k | $5.6k | 188% | — | $246 – $23.5k |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $1.6k | $3.0k | $5.6k | 188% | — | $246 – $23.5k |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $1.9k | $3.4k | $6.3k | 188% | — | $279 – $26.5k |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $2.5k | $4.5k | $8.5k | 188% | — | $376 – $35.8k |
| 12 | Molina medicaid|all plans fee schedule · inpatient | $2.5k | $4.5k | $8.6k | 188% | — | $378 – $36.0k |
| 13 | Molina commercial|marketplace exchange fee schedule · outpatient | $2.9k | $5.3k | $9.9k | 188% | — | $438 – $41.7k |
| 14 | Aetna commercial|awh fee schedule · inpatient | $3.4k | $6.1k | $11.5k | 188% | — | $507 – $48.3k |
| 15 | UnitedHealthcare commercial|cascade care fee schedule · outpatient | $4.1k | $7.2k | $13.1k | 182% | — | $621 – $55k |
| 16 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $4.1k | $7.2k | $13.1k | 182% | — | $621 – $55k |
| 17 | Aetna commercial|all other plans fee schedule · inpatient | $4.1k | $7.3k | $13.8k | 188% | — | $608 – $57.9k |
| 18 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $4.4k | $7.4k | $13.0k | 176% | — | $659 – $55k |
| 19 | Cigna commercial|all plans fee schedule · outpatient | $4.2k | $7.6k | $14.4k | 188% | — | $633 – $60.3k |
| 20 | Cigna commercial|all plans fee schedule · inpatient | $4.6k | $8.4k | $15.8k | 188% | — | $697 – $66.4k |
| 21 | Aetna commercial|rental fee schedule · inpatient | $6.1k | $11.0k | $20.7k | 188% | — | $912 – $86.9k |
| 22 | Aetna commercial|rental fee schedule · outpatient | $6.1k | $11.0k | $20.7k | 188% | — | $912 – $86.9k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $7.6k | $13.7k | $25.8k | 188% | — | $1.1k – $108.6k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $7.6k | $13.7k | $25.8k | 188% | — | $1.1k – $108.6k |
Last updated: Feb 28, 2026
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