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
ARM ENDOSCOPE L32 CM 2 INCISION 2 RING APPLICATOR BAND OD8 MM FALOPE-RING
Low
$1.0k
Average
$2.1k
Median
$1.4k
High
$4.0k
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 2.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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28 hospital rates
iThe hospitals that file a Healthpartners rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $2.6k | $2.6k | $104 | 4% | — | $2.5k – $2.7k |
| 2 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 3 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 3 | $3.7k | $3.5k | $350 | 10% | — | $3.0k – $3.7k |
| 4 | Aurora Medical Center Summit Summit, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 5 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 3 | $3.7k | $3.5k | $350 | 10% | — | $3.0k – $3.7k |
| 6 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 7 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · outpatientfrom % of charges | 3 | $3.7k | $3.5k | $350 | 10% | — | $3.0k – $3.7k |
| 8 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 9 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 3 | $3.7k | $3.5k | $350 | 10% | — | $3.0k – $3.7k |
| 10 | Lakeview Hospital Stillwater, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 3 | $2.1k | $2.2k | $1.4k | 65% | — | $770 – $3.7k |
| 12 | Methodist Hospital St. Louis Park, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | $131 | 10% | — | $1.2k – $1.5k |
| 13 | Regions Hospital St. Paul, MN facility · fee schedule · both | 1 | $1.3k | $1.4k | $349 | 25% | — | $991 – $1.8k |
| 14 | SAINT CROIX REGIONAL MEDICAL CENTER SAINT CROIX FALLS, WI other · both | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | ThedaCare Regional Medical Center-Berlin Inc WI 54971-9286; N2930 State Rd 22 Wautoma, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $95 | 7% | — | $1.3k – $1.5k |
| 16 | Thedacare Regional Medical Center-Appleton Inc WI 54911; W5282 Amy Ave. Appleton WI 54911-7233; 2500 E Capital Dr. Appleton, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $95 | 7% | — | $1.3k – $1.5k |
| 17 | Thedacare Regional Medical Center-Appleton Inc Fond Du Lac, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $95 | 7% | — | $1.3k – $1.5k |
| 18 | Thedacare Regional Medical Center-Appleton Inc Oshkosh, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $95 | 7% | — | $1.3k – $1.5k |
| 19 | Thedacare Regional Medical Center-Appleton Inc. Appleton, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $95 | 7% | — | $1.3k – $1.5k |
| 20 | Thedacare Regional Medical Center-New London Inc WI 54961; 370 S. Main St. Clintonville, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $95 | 7% | — | $1.3k – $1.5k |
| 21 | Thedacare Regional Medical Center-Shawano Inc Shawano, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $95 | 7% | — | $1.3k – $1.5k |
| 22 | Thedacare Regional Medical Center-Waupaca Inc Waupaca, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $52 | 4% | — | $1.3k – $1.4k |
| 23 | Thedacare Regional Medical Center-Wild Rose Inc Wild Rose, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 24 | University of Iowa Health Care Medical Center Iowa City, IA facility · percent of total billed charges · inpatientfrom % of charges | 3 | $4.0k | $4.1k | $875 | 22% | — | $3.1k – $5.2k |
| 25 | University of Iowa Health Care Medical Center Iowa City, IA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $4.0k | $4.0k | $798 | 20% | — | $3.1k – $5.0k |
← Payers reporting HCPCS A4264 · Snapshot 20261111T120946Z-9134e7f7