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
CRT-P QUAD MRI SURESCN SERENA W4TR02
Garrison, ND
See all hospitals reporting HCPCS C2621 →Price type
Garrison Memorial Hospital’s median price of $9.3k is 24% below the median hospital's median price ($12.2k), higher than 30% of the 1,259 hospitals reporting HCPCS C2621. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 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 | Humana medicare|all plans fee schedule · outpatient | $5.7k | $6.2k | $3.1k | 50% | — | $35 – $10.9k |
| 2 | Medica medicare|all plans fee schedule · outpatient | $5.7k | $6.2k | $3.1k | 50% | — | $35 – $10.9k |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $5.7k | $6.2k | $3.1k | 50% | — | $35 – $10.9k |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $5.8k | $6.4k | $3.2k | 50% | — | $36 – $11.2k |
| 5 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $8.5k | $9.2k | $4.6k | 50% | — | $52 – $16.2k |
| 6 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $8.5k | $9.2k | $4.6k | 50% | — | $52 – $16.2k |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $9.9k | $10.8k | $5.4k | 50% | — | $61 – $19.0k |
| 8 | Medica commercial|all plans fee schedule · inpatient | $9.9k | $10.8k | $5.4k | 50% | — | $61 – $19.0k |
| 9 | Medica commercial|all plans fee schedule · outpatient | $9.9k | $10.8k | $5.4k | 50% | — | $61 – $19.0k |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $10.3k | $11.2k | $5.6k | 50% | — | $63 – $19.7k |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $10.3k | $11.2k | $5.6k | 50% | — | $63 – $19.7k |
| 12 | Sanford Health Plan commercial|all plans fee schedule · inpatient | $10.9k | $11.8k | $5.9k | 50% | — | $67 – $20.8k |
| 13 | Sanford Health Plan commercial|all plans fee schedule · outpatient | $10.9k | $11.8k | $5.9k | 50% | — | $67 – $20.8k |
Last updated: Feb 28, 2026
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