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 Balln Flowgate 2 8fr 95cm
Ozark, MO
See all hospitals reporting HCPCS C2628 →Price type
Mercy Hospital Springfield’s median price of $1.8k is 39% above the median hospital's median price ($1.3k), higher than 66% of the 1,340 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: 11 payers, 19 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 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.5k | $1.3k | 89% | — | $107 – $10.3k |
| 2 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.5k | $1.4k | 89% | — | $110 – $10.6k |
| 3 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.9k | $1.7k | 89% | — | $136 – $13.0k |
| 4 | Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.9k | $1.7k | 89% | — | $136 – $13.0k |
| 5 | Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.9k | $1.7k | 89% | — | $136 – $13.0k |
| 6 | Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.9k | $1.7k | 89% | — | $136 – $13.0k |
| 7 | Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.9k | $1.7k | 89% | — | $136 – $13.0k |
| 8 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.9k | $1.7k | 89% | — | $136 – $13.0k |
| 9 | Optum hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $2.0k | $1.8k | 89% | — | $144 – $13.8k |
| 10 | UnitedHealthcare hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $2.0k | $1.8k | 89% | 56–560 | $144 – $13.8k |
| 11 | UnitedHealthcare hb sprg uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $2.0k | $1.8k | 89% | — | $144 – $13.8k |
| 12 | UnitedHealthcare hb sprg uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $2.0k | $1.8k | 89% | — | $144 – $13.8k |
| 13 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.1k | $1.9k | 89% | — | $152 – $14.5k |
| 14 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.6k | $2.3k | 89% | — | $184 – $17.7k |
| 15 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.6k | $2.3k | 89% | — | $187 – $17.9k |
| 16 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.7k | $2.4k | 89% | — | $198 – $18.9k |
| 17 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.9k | $2.6k | 89% | — | $207 – $19.8k |
| 18 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.9k | $2.6k | 89% | — | $209 – $20.0k |
| 19 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.9k | $2.6k | 89% | — | $209 – $20.0k |
Last updated: Jun 4, 2026
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