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
PROSTHESIS GMENESIS 13MM 91-9513SC
Garrison, ND
See all hospitals reporting HCPCS C2622 →Price type
Garrison Memorial Hospital’s median price of $5.6k is 54% below the median hospital's median price ($12.0k), higher than 26% of the 882 hospitals reporting HCPCS C2622. 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 | $3.9k | $3.7k | $1.1k | 30% | — | $1.7k – $5.0k |
| 2 | Medica medicare|all plans fee schedule · outpatient | $3.9k | $3.7k | $1.1k | 30% | — | $1.7k – $5.0k |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $3.9k | $3.7k | $1.1k | 30% | — | $1.7k – $5.0k |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $4.0k | $3.8k | $1.1k | 30% | — | $1.7k – $5.1k |
| 5 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $5.7k | $5.5k | $1.7k | 30% | — | $2.5k – $7.4k |
| 6 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $5.7k | $5.5k | $1.7k | 30% | — | $2.5k – $7.4k |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $6.7k | $6.5k | $2.0k | 30% | — | $3.0k – $8.7k |
| 8 | Medica commercial|all plans fee schedule · inpatient | $6.7k | $6.5k | $2.0k | 30% | — | $3.0k – $8.7k |
| 9 | Medica commercial|all plans fee schedule · outpatient | $6.7k | $6.5k | $2.0k | 30% | — | $3.0k – $8.7k |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $7.0k | $6.7k | $2.0k | 30% | — | $3.1k – $9.0k |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $7.0k | $6.7k | $2.0k | 30% | — | $3.1k – $9.0k |
| 12 | Sanford Health Plan commercial|all plans fee schedule · inpatient | $7.4k | $7.1k | $2.1k | 30% | — | $3.2k – $9.5k |
| 13 | Sanford Health Plan commercial|all plans fee schedule · outpatient | $7.4k | $7.1k | $2.1k | 30% | — | $3.2k – $9.5k |
Last updated: Feb 28, 2026
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