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
EXC S/N/H/F/G MAL+MRG >4 CM
Valhalla, NY
See all hospitals reporting CPT 11626 →Price type
Westchester Medical Center’s median price of $5.9k is 97% above the median hospital's median price ($3.0k), higher than 90% of the 1,992 hospitals reporting CPT 11626. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 19 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 blue cross medicare facility · fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 2 | Medicare medicare facility · fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 3 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 4 | Oscar oscar medicare facility · fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 5 | Molina affinity by molina mcr facility · fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 6 | Blue Cross Blue Shield blue cross connection/exchange facility · case rate · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 7 | Blue Cross Blue Shield blue cross access facility · case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 8 | Aetna aetna hp network facility · case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 9 | Cigna cigna ppo facility · fee schedule · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 10 | Tricare tricare facility · fee schedule · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 11 | WellCare wellcare exchange (mcr) facility · fee schedule · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 12 | Blue Cross Blue Shield blue cross small group facility · case rate · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 13 | UnitedHealthcare uhc compass facility · case rate · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 14 | UnitedHealthcare uhc exchange facility · case rate · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 15 | Aetna aetna facility · case rate · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 16 | Aetna aetna employee facility · case rate · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 17 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · case rate · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 18 | UnitedHealthcare uhc commercial facility · case rate · outpatient | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 19 | UnitedHealthcare uhc empire facility · case rate · outpatient | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
Last updated: Jul 28, 2026
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