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
TACTRA 11MM X 16CM-25CM
Pasadena, TX
See all hospitals reporting HCPCS C2622 →Price type
Pmc Hospital, Llc’s median price of $16.0k is 33% above the median hospital's median price ($12.1k), higher than 66% of the 878 hospitals reporting HCPCS C2622. 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, 42 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 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $10.5k | $9.7k | $3.5k | 36% | — | $4.4k – $13.4k |
| 2 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $11.0k | $10.2k | $3.7k | 36% | — | $4.6k – $14.1k |
| 3 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $11.0k | $10.2k | $3.7k | 36% | — | $4.6k – $14.1k |
| 4 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $12.0k | $11.1k | $4.0k | 36% | — | $5.0k – $15.4k |
| 5 | Blue Cross Blue Shield commercial|blue premier fee schedule · inpatient | $12.5k | $11.6k | $4.2k | 36% | — | $5.2k – $16.0k |
| 6 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $13.0k | $12.0k | $4.4k | 36% | — | $5.4k – $16.7k |
| 7 | UnitedHealthcare commercial|exchange fee schedule · inpatient | $13.0k | $12.0k | $4.4k | 36% | — | $5.4k – $16.7k |
| 8 | Aetna commercial|hmo fee schedule · inpatient | $13.3k | $12.5k | $4.6k | 37% | — | $5.2k – $18.6k |
| 9 | Aetna commercial|hmo fee schedule · outpatient | $13.3k | $12.5k | $4.6k | 37% | — | $5.2k – $18.6k |
| 10 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $13.5k | $12.5k | $4.5k | 36% | — | $5.6k – $17.3k |
| 11 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · inpatient | $14.0k | $12.9k | $4.7k | 36% | — | $5.8k – $17.9k |
| 12 | UnitedHealthcare commercial|charter fee schedule · outpatient | $14.0k | $12.9k | $4.7k | 36% | — | $5.8k – $17.9k |
| 13 | Aetna commercial|ppo fee schedule · inpatient | $14.5k | $13.4k | $4.9k | 36% | — | $6.1k – $18.6k |
| 14 | Aetna commercial|ppo fee schedule · outpatient | $14.5k | $13.4k | $4.9k | 36% | — | $6.1k – $18.6k |
| 15 | Blue Cross Blue Shield commercial|hmo fee schedule · inpatient | $14.5k | $13.4k | $4.9k | 36% | — | $6.1k – $18.6k |
| 16 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $15.0k | $13.9k | $5.0k | 36% | — | $6.3k – $19.2k |
| 17 | Cigna commercial|hmo fee schedule · inpatient | $15.0k | $13.9k | $5.0k | 36% | — | $6.3k – $19.2k |
| 18 | Cigna commercial|hmo fee schedule · outpatient | $15.0k | $13.9k | $5.0k | 36% | — | $6.3k – $19.2k |
| 19 | Cigna commercial|ppo fee schedule · inpatient | $15.0k | $13.9k | $5.0k | 36% | — | $6.3k – $19.2k |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $15.0k | $13.9k | $5.0k | 36% | — | $6.3k – $19.2k |
| 21 | Cigna commercial|surefit fee schedule · inpatient | $15.0k | $13.9k | $5.0k | 36% | — | $6.3k – $19.2k |
| 22 | Cigna commercial|surefit fee schedule · outpatient | $15.0k | $13.9k | $5.0k | 36% | — | $6.3k – $19.2k |
| 23 | Blue Cross Blue Shield commercial|ppo fee schedule · inpatient | $15.5k | $14.3k | $5.2k | 36% | — | $6.5k – $19.9k |
| 24 | UnitedHealthcare commercial|charter fee schedule · inpatient | $15.5k | $14.3k | $5.2k | 36% | — | $6.5k – $19.9k |
| 25 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $15.5k | $14.3k | $5.2k | 36% | — | $6.5k – $19.9k |
Last updated: Feb 28, 2026
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