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
$1.7k
Median
$994
High
$98.5k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1133 hospitals; the 90th percentile is 11.0× 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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1,544 hospital rates
iThe hospitals that file a Cigna 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 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $252 | $373 | 148% | 3,536–35,360 | $60 – $4.9k |
| 2 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $522 | $812 | $751 | 92% | 2,932–29,320 | $1 – $9.7k |
| 3 | Vanderbilt University Medical Center Nashville, TN other · both | 4 | $0 | $0 | — | — | 2,529–25,290 | $0 – $0 |
| 4 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 5 | $403 | $940 | $1.7k | 185% | 2,518–25,180 | $0 – $27.5k |
| 5 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 8 | $687 | $1.2k | $1.8k | 149% | 2,138–21,380 | $110 – $21.9k |
| 6 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 8 | $687 | $1.2k | $1.8k | 149% | 2,138–21,380 | $110 – $21.9k |
| 7 | Missouri Baptist Medical Center Saint Louis, MO percent of total billed charges · bothfrom % of charges | 3 | $292 | $514 | $729 | 142% | 1,811–18,110 | $15 – $6.9k |
| 8 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 2 | $95 | $251 | $492 | 196% | 1,155–11,550 | $60 – $4.7k |
| 9 | Reid Health Richmond, IN percent of total billed charges · bothfrom % of charges | 4 | $300 | $935 | $1.4k | 149% | 1,084–10,840 | $8 – $8.2k |
| 10 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $647 | $1.9k | $4.8k | 249% | 1,030–10,300 | $0 – $67.6k |
| 11 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $188 | $558 | $1.4k | 259% | 784–7,669 | $50 – $8.6k |
| 12 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $247 | $702 | $1.6k | 226% | 773–7,469 | $97 – $11.4k |
| 13 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ other · outpatient | 1 | $798 | $798 | — | — | 692–6,920 | $798 – $798 |
| 14 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 3 | $602 | $1.8k | $4.6k | 255% | 623–6,230 | $10 – $44.4k |
| 15 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $493 | $725 | $925 | 128% | 619–6,190 | $134 – $5.8k |
| 16 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $95 | $330 | $797 | 242% | 547–5,470 | $12 – $4.7k |
| 17 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $228 | $907 | $2.4k | 264% | 509–5,090 | $97 – $10.8k |
| 18 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $480 | $863 | $986 | 114% | 379–3,790 | $0 – $10.5k |
| 19 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $558 | $825 | $873 | 106% | 338–3,380 | $0 – $9.0k |
| 20 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.5k | $1.7k | 113% | 207–2,070 | $14 – $16.8k |
| 21 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.5k | $1.2k | 77% | 137–1,370 | $1 – $9.7k |
| 22 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 3 | $105 | $603 | $1.6k | 264% | 61 | $73 – $8.6k |
| 23 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | 48–480 | $3.6k – $3.6k |
| 24 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 22 | $1.3k | $1.3k | — | — | 46–55 | $1.3k – $1.3k |
| 25 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $798 | $798 | — | — | 30–300 | $798 – $798 |
← Payers reporting HCPCS C1725 · Snapshot 20261111T120946Z-9134e7f7