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
$136
Average
$958
Median
$648
High
$3.1k
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
56 hospitals; the 90th percentile is 7.6× 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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81 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 5 | $171 | $531 | $1.3k | 253% | 1,518–14,910 | $21 – $11.4k |
| 2 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 3 | $121 | $560 | $1.8k | 320% | 509–5,090 | $21 – $11.4k |
| 3 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $58 | $416 | $1.4k | 341% | 445–4,450 | $21 – $10.7k |
| 4 | Avera Heart Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $308 | $790 | $1.6k | 197% | 327–3,270 | $207 – $10.7k |
| 5 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $365 | $445 | $646 | 145% | 154–1,540 | $162 – $5.9k |
| 6 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $794 | $1.9k | $2.7k | 143% | — | $18 – $13.4k |
| 7 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $794 | $1.9k | $2.7k | 143% | — | $18 – $13.4k |
| 8 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $794 | $1.9k | $2.7k | 143% | — | $18 – $13.4k |
| 9 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $794 | $1.9k | $2.7k | 143% | — | $18 – $13.4k |
| 10 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $179 | $544 | $943 | 173% | — | $167 – $7.9k |
| 11 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 3 | $179 | $508 | $886 | 175% | — | $134 – $7.9k |
| 12 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $743 | $1.2k | $1.1k | 91% | — | $120 – $4.5k |
| 13 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 3 | $743 | $1.1k | $1.0k | 92% | — | $96 – $4.5k |
| 14 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · inpatientfrom % of charges | 1 | $388 | $1.1k | $2.4k | 232% | — | $153 – $11.4k |
| 15 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 3 | $388 | $985 | $2.3k | 233% | — | $122 – $11.4k |
| 16 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · inpatientfrom % of charges | 1 | $255 | $408 | $329 | 81% | — | $149 – $1.1k |
| 17 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 3 | $220 | $381 | $311 | 82% | — | $119 – $1.1k |
| 18 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · inpatientfrom % of charges | 1 | $312 | $933 | $1.9k | 208% | — | $29 – $16.7k |
| 19 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 3 | $275 | $871 | $1.8k | 210% | — | $23 – $16.7k |
| 20 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · inpatientfrom % of charges | 1 | $478 | $1.4k | $3.1k | 231% | — | $234 – $14.1k |
| 21 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 3 | $469 | $1.3k | $3.0k | 233% | — | $187 – $14.1k |
| 22 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · inpatientfrom % of charges | 1 | $586 | $939 | $1.9k | 198% | — | $78 – $10.4k |
| 23 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 3 | $478 | $876 | $1.7k | 200% | — | $62 – $10.4k |
| 24 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · inpatientfrom % of charges | 1 | $172 | $877 | $1.7k | 194% | — | $149 – $10.3k |
| 25 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 3 | $172 | $818 | $1.6k | 195% | — | $119 – $10.3k |
← Payers reporting HCPCS C1725 · Snapshot 20261111T120946Z-9134e7f7