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
CATH BLLN HYPERFORM 7MMX7CM 104-4770
Garrison, ND
See all hospitals reporting HCPCS C2628 →Price type
Garrison Memorial Hospital’s median price of $1.2k is 12% below the median hospital's median price ($1.3k), higher than 46% 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: 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 | $763 | $1.1k | $1.0k | 92% | — | $197 – $4.2k |
| 2 | Medica medicare|all plans fee schedule · outpatient | $763 | $1.1k | $1.0k | 92% | — | $197 – $4.2k |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $763 | $1.1k | $1.0k | 92% | — | $197 – $4.2k |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $778 | $1.2k | $1.1k | 92% | — | $200 – $4.3k |
| 5 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $1.1k | $1.7k | $1.6k | 92% | — | $291 – $6.2k |
| 6 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $1.1k | $1.7k | $1.6k | 92% | — | $291 – $6.2k |
| 7 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $1.3k | $2.0k | $1.8k | 92% | — | $342 – $7.3k |
| 8 | Medica commercial|all plans fee schedule · inpatient | $1.3k | $2.0k | $1.8k | 92% | — | $342 – $7.3k |
| 9 | Medica commercial|all plans fee schedule · outpatient | $1.3k | $2.0k | $1.8k | 92% | — | $342 – $7.3k |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $1.4k | $2.1k | $1.9k | 92% | — | $354 – $7.5k |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $1.4k | $2.1k | $1.9k | 92% | — | $354 – $7.5k |
| 12 | Sanford Health Plan commercial|all plans fee schedule · inpatient | $1.4k | $2.2k | $2.0k | 92% | — | $373 – $7.9k |
| 13 | Sanford Health Plan commercial|all plans fee schedule · outpatient | $1.4k | $2.2k | $2.0k | 92% | — | $373 – $7.9k |
Last updated: Feb 28, 2026
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