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
L150CM BALLOON L100MM DIA2MM SHEATH 4FR GUIDEWIRE 0.014IN RATED BURST PRESSURE 14ATM OTW LOW COMPLIANT NON SCORED
Low
$0
Average
$1.8k
Median
$880
High
$300.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1299 hospitals; the 90th percentile is 12.8× 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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1,882 hospital rates
iThe hospitals that file a Aetna 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 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 5 | $46 | $122 | $263 | 216% | 10,715–107,150 | $11 – $3.4k |
| 2 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 10 | $195 | $369 | $630 | 171% | 2,529–25,290 | $16 – $12.9k |
| 3 | Methodist Hospitals of Dallas Dallas, TX percent of total billed charges · bothfrom % of charges | 6 | $182 | $375 | $608 | 162% | 2,181–21,810 | $13 – $10.3k |
| 4 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ other · outpatient | 3 | $798 | $798 | — | — | 2,106–21,060 | $798 – $798 |
| 5 | MaineHealth Portland, ME percent of total billed charges · outpatientfrom % of charges | 2 | $236 | $507 | $725 | 143% | 1,934–19,340 | $10 – $14.0k |
| 6 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 3 | $551 | $864 | $1.1k | 126% | 1,922–19,220 | $34 – $18.4k |
| 7 | Missouri Baptist Medical Center Saint Louis, MO percent of total billed charges · bothfrom % of charges | 3 | $408 | $707 | $1.0k | 142% | 1,808–18,080 | $21 – $9.1k |
| 8 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $458 | $896 | $1.1k | 127% | 1,289–12,890 | $1 – $16.3k |
| 9 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $458 | $896 | $1.1k | 127% | 1,289–12,890 | $1 – $16.3k |
| 10 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 1 | $424 | $1.0k | $1.8k | 184% | 1,259–12,590 | $0 – $27.0k |
| 11 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 2 | $504 | $711 | $843 | 119% | 1,231–12,310 | $20 – $6.6k |
| 12 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.1k | $960 | 86% | 1,222–12,220 | $91 – $6.5k |
| 13 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.1k | $960 | 86% | 1,222–12,220 | $91 – $6.5k |
| 14 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.1k | $960 | 86% | 1,222–12,220 | $91 – $6.5k |
| 15 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN percent of total billed charges · bothfrom % of charges | 6 | $283 | $487 | $713 | 146% | 1,041–10,410 | $4 – $11.2k |
| 16 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $212 | $636 | $1.7k | 260% | 791–7,676 | $54 – $10.3k |
| 17 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $241 | $695 | $1.6k | 226% | 784–7,480 | $97 – $10.8k |
| 18 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $123 | $178 | $272 | 153% | 752–7,520 | $123 – $1.5k |
| 19 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $123 | $178 | $272 | 153% | 752–7,520 | $123 – $1.5k |
| 20 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ other · outpatient | 1 | $1.5k | $1.5k | — | — | 692–6,920 | $1.5k – $1.5k |
| 21 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ other · outpatient | 1 | $1.5k | $1.5k | — | — | 692–6,920 | $1.5k – $1.5k |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $667 | $1.7k | $3.7k | 219% | 458–4,580 | $47 – $44.1k |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $312 | $873 | $1.7k | 198% | 458–4,580 | $47 – $20.5k |
| 24 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 1 | $137 | $880 | $2.3k | 264% | 445–4,450 | $98 – $10.9k |
| 25 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $172 | $415 | $511 | 123% | 401–4,010 | $14 – $5.2k |
← Payers reporting HCPCS C1725 · Snapshot 20261111T120946Z-9134e7f7