RC 623
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
HH MEDLINE STERILE GAUZE SPONGE 4X4 (EACH)
Orleans, LA
See all hospitals reporting RC 623 →Price type
Ochsner Clinic Foundation’s median price of $52 is 55% above the median hospital's median price ($34), higher than 65% of the 297 hospitals reporting RC 623. 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, 6 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 | Bcbs La all payor percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 2 | Aetna all payor other · outpatient | $38 | $38 | $2 | 4% | — | $37 – $40 |
| 3 | Cigna all payor other · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 4 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $48 | $48 | $2 | 5% | — | $45 – $50 |
| 5 | First Health all payor percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 6 | MultiPlan all payor other · outpatient | $58 | $58 | — | — | — | $58 – $58 |
Last updated: Apr 1, 2026
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