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
BALLOON GUIDE CATHETER MERCI 8F X 95CM - 90073
Utica, NY
See all hospitals reporting HCPCS C2628 →Price type
MVHS, Inc.’s median price of $6.1k is 366% above the median hospital's median price ($1.3k), higher than 97% 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: 5 payers, 8 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 | Excellus excellus bcbs medicaid percent of total billed charges · bothfrom % of charges | $2.6k | $2.3k | $1.0k | 45% | — | $5 – $3.5k |
| 2 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $4.0k | $3.4k | $1.5k | 45% | — | $7 – $5.3k |
| 3 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $6.7k | $5.8k | $2.6k | 45% | — | $12 – $9.1k |
| 4 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $6.7k | $5.8k | $2.6k | 45% | — | $12 – $9.1k |
| 5 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $6.7k | $5.8k | $2.6k | 45% | — | $12 – $9.1k |
| 6 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $6.7k | $5.8k | $2.6k | 45% | — | $12 – $9.1k |
| 7 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $7.2k | $6.2k | $2.8k | 45% | 22–220 | $13 – $9.7k |
| 8 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $7.4k | $6.4k | $2.9k | 45% | — | $13 – $10.0k |
Last updated: Aug 7, 2026
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