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 HYPERFORM 150CM 7MM 3-2.8FR 7MM .01IN 2MM BALLOON
Jasper, GA
See all hospitals reporting HCPCS C2628 →Price type
Piedmont Mountainside’s median price of $1.1k is 14% below the median hospital's median price ($1.3k), higher than 44% of the 1,338 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: 8 payers, 9 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 | Caresource caresource medicaid percent of total billed charges · bothfrom % of charges | $297 | $574 | $770 | 134% | — | $30 – $3.8k |
| 2 | UnitedHealthcare united healthcare exchange percent of total billed charges · bothfrom % of charges | $1.1k | $2.1k | $2.8k | 134% | — | $108 – $13.8k |
| 3 | UnitedHealthcare united healthcare percent of total billed charges · bothfrom % of charges | $1.7k | $3.2k | $4.3k | 134% | — | $167 – $21.3k |
| 4 | First Health first health percent of total billed charges · bothfrom % of charges | $1.8k | $3.5k | $4.7k | 134% | — | $183 – $23.3k |
| 5 | Aetna aetna hmo/ppo percent of total billed charges · bothfrom % of charges | $1.9k | $3.6k | $4.8k | 134% | — | $186 – $23.7k |
| 6 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $2.1k | $4.0k | $5.4k | 134% | — | $209 – $26.6k |
| 7 | Phcs phcs percent of total billed charges · bothfrom % of charges | $2.1k | $4.0k | $5.4k | 134% | — | $209 – $26.6k |
| 8 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $2.2k | $4.3k | $5.7k | 134% | — | $222 – $28.3k |
| 9 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $2.2k | $4.3k | $5.7k | 134% | — | $222 – $28.3k |
Last updated: Jul 1, 2026
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