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
$33
Average
$1.2k
Median
$928
High
$7.5k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
171 hospitals; the 90th percentile is 9.3× 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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224 hospital rates
iThe hospitals that file a Medica 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 | 11 | $225 | $601 | $1.4k | 233% | 4,478–44,654 | $50 – $10.8k |
| 2 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 8 | $132 | $815 | $2.2k | 265% | 1,335–13,350 | $74 – $10.8k |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $225 | $624 | $1.6k | 261% | 765–7,650 | $49 – $10.3k |
| 4 | Barnes Jewish St. Peters Hospital St. Peters, MO percent of total billed charges · bothfrom % of charges | 1 | $476 | $688 | $1.1k | 153% | 762–7,620 | $53 – $9.7k |
| 5 | Memorial Hospital Shiloh, IL percent of total billed charges · bothfrom % of charges | 1 | $476 | $689 | $1.1k | 153% | 761–7,610 | $53 – $9.7k |
| 6 | Avera Heart Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $423 | $1.1k | $2.1k | 198% | 654–6,540 | $255 – $15.8k |
| 7 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 7 | $211 | $810 | $2.2k | 269% | 16 | $52 – $10.8k |
| 8 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 2 | $641 | $641 | — | — | 4–40 | $641 – $641 |
| 9 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $170 | $713 | $1.2k | 172% | — | $170 – $6.2k |
| 10 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $284 | $707 | $1.2k | 170% | — | $123 – $8.6k |
| 11 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $294 | $590 | $1.0k | 178% | — | $178 – $8.9k |
| 12 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $660 | $1.3k | $1.7k | 132% | — | $0 – $18.0k |
| 13 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $757 | $1.4k | $2.2k | 154% | — | $17 – $23.0k |
| 14 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $696 | $1.3k | $2.1k | 157% | — | $11 – $23.0k |
| 15 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $660 | $1.3k | $1.7k | 132% | — | $0 – $18.0k |
| 16 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 4 | $757 | $1.4k | $2.2k | 154% | — | $17 – $23.0k |
| 17 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 5 | $669 | $1.3k | $2.1k | 161% | — | $8 – $23.0k |
| 18 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 1 | $662 | $1.3k | $1.7k | 131% | — | $14 – $18.0k |
| 19 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $660 | $1.3k | $1.7k | 132% | — | $0 – $18.0k |
| 20 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 4 | $757 | $1.4k | $2.2k | 154% | — | $17 – $23.0k |
| 21 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 5 | $660 | $1.3k | $2.0k | 163% | — | $6 – $23.0k |
| 22 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 1 | $660 | $1.3k | $1.7k | 132% | — | $0 – $18.0k |
| 23 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 4 | $757 | $1.4k | $2.2k | 154% | — | $17 – $23.0k |
| 24 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 5 | $685 | $1.3k | $2.1k | 159% | — | $9 – $23.0k |
| 25 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 1 | $433 | $394 | $96 | 24% | — | $249 – $504 |
← Payers reporting HCPCS C1725 · Snapshot 20261111T120946Z-9134e7f7