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
$637
Average
$1.1k
Median
$942
High
$1.9k
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7 hospital rates
iThe hospitals that file a Bcbs Vt 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 | Central Vermont Medical Center Inc Berlin, VT facility · percent of total billed charges · outpatientfrom % of charges | 2 | $780 | $780 | $10 | 1% | — | $769 – $790 |
| 2 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $450 | $1.1k | $1.6k | 147% | — | $69 – $8.2k |
| 3 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $450 | $1.1k | $1.6k | 147% | — | $69 – $8.2k |
| 4 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · fee schedule · outpatient | 3 | $324 | $348 | $34 | 10% | — | $324 – $395 |
| 5 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $337 | $638 | $803 | 126% | — | $19 – $6.3k |
| 6 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $437 | $437 | — | — | — | $437 – $437 |
| 7 | University of Vermont Medical Center Inc Colchester, VT facility · fee schedule · outpatient | 2 | $1.9k | $1.9k | $232 | 12% | — | $1.7k – $2.1k |
← Payers reporting HCPCS C1725 · Snapshot 20261111T120946Z-9134e7f7