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
BLN OCCLUSION 4X20 SCEPTER C
Hackensack, NJ
See all hospitals reporting HCPCS C2628 →Price type
Hmh Hospitals Corporation’s median price of $1.8k is 35% above the median hospital's median price ($1.3k), higher than 65% 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: 7 payers, 16 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $592 | $507 | $390 | 77% | — | $16 – $2.4k |
| 2 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $595 | $595 | — | — | — | $595 – $595 |
| 3 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $595 | $595 | — | — | — | $595 – $595 |
| 4 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $723 | $620 | $477 | 77% | — | $19 – $2.9k |
| 5 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $973 | $834 | $641 | 77% | — | $26 – $3.9k |
| 6 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.3k | $974 | 76% | — | $39 – $5.9k |
| 7 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.3k | $974 | 76% | — | $39 – $5.9k |
| 8 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.4k | $1.1k | 77% | — | $42 – $6.4k |
| 9 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $1.8k | $1.5k | $1.2k | 76% | — | $46 – $7.0k |
| 10 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $1.8k | $1.5k | $1.2k | 76% | — | $46 – $7.0k |
| 11 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.0k | $1.5k | 77% | — | $61 – $9.2k |
| 12 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.0k | $1.5k | 77% | — | $61 – $9.2k |
| 13 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.0k | $1.5k | 77% | — | $61 – $9.2k |
| 14 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.1k | $888 | 43% | — | $824 – $6.7k |
| 15 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.3k | $1.7k | 77% | — | $69 – $10.5k |
| 16 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $2.8k | $2.4k | $1.8k | 77% | — | $73 – $11.1k |
Last updated: Dec 31, 2025
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