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
4064226 CATH OCCLUSION 3[Omnicell Cath Lab]
Wayne, IN
See all hospitals reporting HCPCS C2628 →Price type
St. Joseph Health System, LLC’s median price of $1.6k is 21% above the median hospital's median price ($1.3k), higher than 60% 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: 7 payers, 20 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 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $640 | $2.1k | $2.4k | 117% | — | $525 – $8.1k |
| 2 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $640 | $2.1k | $2.4k | 117% | — | $525 – $8.1k |
| 3 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $719 | $2.3k | $2.7k | 117% | — | $589 – $9.1k |
| 4 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $719 | $2.3k | $2.7k | 117% | — | $590 – $9.1k |
| 5 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $719 | $2.3k | $2.7k | 117% | — | $590 – $9.1k |
| 6 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $912 | $2.9k | $3.4k | 117% | — | $747 – $11.6k |
| 7 | Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $4.3k | $5.1k | 117% | — | $1.1k – $17.1k |
| 8 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $4.4k | $5.1k | 117% | — | $1.1k – $17.4k |
| 9 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $4.4k | $5.1k | 117% | — | $1.1k – $17.4k |
| 10 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $4.8k | $5.6k | 117% | — | $1.2k – $18.9k |
| 11 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $4.8k | $5.6k | 117% | — | $1.2k – $18.9k |
| 12 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $5.0k | $5.8k | 117% | — | $1.3k – $19.6k |
| 13 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $5.0k | $5.8k | 117% | — | $1.3k – $19.6k |
| 14 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $5.1k | $6.0k | 117% | — | $1.3k – $20.1k |
| 15 | Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $6.4k | $7.4k | 117% | — | $1.6k – $25.2k |
| 16 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $6.4k | $7.4k | 117% | — | $1.6k – $25.2k |
| 17 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $6.4k | $7.4k | 117% | — | $1.6k – $25.2k |
| 18 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $6.4k | $7.4k | 117% | — | $1.6k – $25.2k |
| 19 | UnitedHealthcare uhc apa facility · other · outpatient | $7.8k | $7.6k | $417 | 5% | — | $6.8k – $7.8k |
| 20 | UnitedHealthcare uhc options ppo facility · other · outpatient | $7.8k | $7.6k | $417 | 5% | — | $6.8k – $7.8k |
Last updated: Apr 1, 2026
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