Eclipse balloon catheter at Shannon River Crest Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CATH UROMAX 15FR 6X75 M0062251070

San Angelo, TX

See all hospitals reporting HCPCS C2628 →

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Pricing by billing methodology

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How this price compares nationally

Shannon River Crest Hospital’s median price of $308 is 77% below the median hospital's median price ($1.3k), higher than 9% of the 1,340 hospitals reporting HCPCS C2628. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C2628 at Shannon River Crest Hospital

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: Dec 8, 2025

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