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
IN.PACT DCB SFA 100MM & 130CM
Hialeah, FL
See all hospitals reporting HCPCS C2623 →Price type
Hsa Pgh Llc’s median price of $2.8k is 11% below the median hospital's median price ($3.2k), higher than 43% of the 1,271 hospitals reporting HCPCS C2623. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 23 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 | Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges | $448 | $493 | $154 | 31% | — | $4 – $911 |
| 2 | Oscar oscar health plan hix facility · percent of total billed charges · inpatientfrom % of charges | $911 | $911 | — | — | — | $911 – $911 |
| 3 | UnitedHealthcare united healthcare of florida exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.5k | $400 | 27% | — | $13 – $2.3k |
| 4 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | Humana humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | Humana humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | Humana humana commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | Humana humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Aetna aetna non-gatekeeper facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.2k | $595 | 27% | — | $19 – $3.5k |
| 11 | UnitedHealthcare united healthcare of florida all payer facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.2k | $607 | 27% | — | $19 – $3.5k |
| 12 | UnitedHealthcare united healthcare of florida hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.2k | $607 | 27% | — | $19 – $3.5k |
| 13 | UnitedHealthcare united healthcare of florida ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.2k | $607 | 27% | — | $19 – $3.5k |
| 14 | Humana humana commercial hmo facility · other · outpatient | $2.3k | $2.4k | $656 | 27% | — | $21 – $3.8k |
| 15 | Humana humana commercial ppo facility · other · outpatient | $2.4k | $2.5k | $686 | 27% | — | $22 – $4.0k |
| 16 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $2.9k | $3.1k | $829 | 27% | — | $27 – $4.9k |
| 17 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $2.9k | $3.1k | $845 | 27% | — | $27 – $4.9k |
| 18 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $3.3k | $3.5k | $945 | 27% | — | $31 – $5.6k |
| 19 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $3.3k | $3.5k | $945 | 27% | — | $31 – $5.6k |
| 20 | Magellan magellan behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.7k | $995 | 27% | — | $33 – $5.9k |
| 21 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $3.9k | $4.1k | $1.1k | 27% | — | $36 – $6.6k |
| 22 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $4.1k | $1.1k | 27% | — | $36 – $6.6k |
| 23 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.3k | $1.2k | 27% | — | $38 – $6.9k |
Last updated: Sep 1, 2026
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