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
$450
Average
$2.7k
Median
$2.0k
High
$5.5k
Each hospital's average Bcbs Ca rate, under the methodology and billing class chosen below.
7 hospitals; the 90th percentile is 6.7× 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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12 hospital rates
iThe hospitals that file a Bcbs Ca 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 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $450 | $450 | — | — | — | $450 – $450 |
| 2 | Banner Lassen Medical Center Susanville, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.3k | $4.3k | $3.2k | 74% | — | $740 – $11.3k |
| 3 | Banner Lassen Medical Center Susanville, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $4.3k | $3.2k | 74% | — | $740 – $11.3k |
| 4 | Childrens Hospital of Orange County - Profit Orange, CA facility · other · outpatient | 5 | $4.3k | $4.4k | $796 | 18% | — | $3.0k – $5.9k |
| 5 | Childrens Hospital of Orange County - Profit Orange, CA facility · per diem · outpatient | 1 | $4.7k | $4.7k | $611 | 13% | — | $4.1k – $5.3k |
| 6 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.9k | $3.9k | $503 | 13% | — | $3.4k – $4.4k |
| 7 | Hayward Sisters Hospital Hayward, CA facility · other · outpatient | 3 | $976 | $1.2k | $787 | 63% | — | $630 – $2.9k |
| 8 | Oroville Hospital Oroville, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $2.0k | $1.6k | 78% | — | $302 – $9.4k |
| 9 | Salinas Valley Memorial Healthcare System SALINAS, CA percent of total billed charges · inpatientfrom % of charges | 1 | $5.8k | $5.5k | $909 | 17% | — | $773 – $8.8k |
| 10 | Salinas Valley Memorial Healthcare System SALINAS, CA percent of total billed charges · outpatientfrom % of charges | 1 | $5.8k | $5.5k | $909 | 17% | — | $773 – $8.8k |
| 11 | Tri-City Medical Center Oceanside, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $418 | $418 | — | — | — | $418 – $418 |
| 12 | Tri-City Medical Center Oceanside, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $497 | $887 | $1.5k | 167% | — | $42 – $11.4k |
← Payers reporting HCPCS C1725 · Snapshot 20261111T120946Z-9134e7f7