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 OCCLUSION BALLOON 220-109
Big Spring, TX
See all hospitals reporting HCPCS C2628 →Price type
Shannon Medical Center Big Spring’s median price of $308 is 77% below the median hospital's median price ($1.3k), higher than 10% 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: 6 payers, 15 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 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $311 | $359 | $123 | 34% | — | $216 – $522 |
| 2 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $311 | $359 | $123 | 34% | — | $216 – $522 |
| 3 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $339 | $392 | $134 | 34% | — | $236 – $569 |
| 4 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $353 | $408 | $139 | 34% | — | $246 – $593 |
| 5 | Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges | $353 | $408 | $139 | 34% | — | $246 – $593 |
| 6 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $353 | $408 | $139 | 34% | — | $246 – $593 |
| 7 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $353 | $408 | $139 | 34% | — | $246 – $593 |
| 8 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $353 | $408 | $139 | 34% | — | $246 – $593 |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $353 | $408 | $139 | 34% | — | $246 – $593 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $353 | $408 | $139 | 34% | — | $246 – $593 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $353 | $408 | $139 | 34% | — | $246 – $593 |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $367 | $424 | $145 | 34% | — | $256 – $617 |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $367 | $424 | $145 | 34% | — | $256 – $617 |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $377 | $435 | $149 | 34% | — | $262 – $633 |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $377 | $435 | $149 | 34% | — | $262 – $633 |
Last updated: Apr 8, 2026
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