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
$773
Median
$959
High
$2.1k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 19.5× 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.
Filter by billing methodology
Filter by billing class
50 hospital rates
iThe hospitals that file a Medicare 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 Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $476 | $476 | $137 | 29% | 2–20 | $338 – $613 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · inpatient | 1 | $435 | $435 | — | — | 1–10 | $435 – $435 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · outpatient | 1 | $435 | $435 | — | — | 1–10 | $435 – $435 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $99 | $200 | $411 | 206% | — | $17 – $4.7k |
| 6 | East Morgan County Hospital Brush, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $2.1k | $1.6k | 74% | — | $366 – $5.6k |
| 7 | FISHERMENS HEALTH, INC MARATHON, FL percent of total billed charges · bothfrom % of charges | 2 | $822 | $1.3k | $1.2k | 90% | — | $67 – $6.9k |
| 8 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | $288 | 28% | — | $222 – $1.7k |
| 9 | Grossmont Hospital Corporation La Mesa, CA case rate · outpatient | 1 | $54.5k | $54.5k | — | — | — | $54.5k – $54.5k |
| 10 | Grossmont Hospital Corporation La Mesa, CA fee schedule · inpatient | 1 | $1.4k | $5.0k | $7.8k | 156% | — | $4 – $22.8k |
| 11 | Grossmont Hospital Corporation La Mesa, CA fee schedule · outpatient | 1 | $1 | $373 | $2.0k | 543% | — | $0 – $19.5k |
| 12 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $648 | $1.0k | $1.4k | 130% | — | $38 – $18.5k |
| 13 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $659 | $1.1k | $1.4k | 127% | — | $38 – $13.9k |
| 14 | Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $203 | $387 | $705 | 182% | — | $115 – $5.8k |
| 15 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $823 | $1.9k | $2.9k | 149% | — | $98 – $9.7k |
| 16 | MARINERS HOSPITAL TAVERNIER, FL percent of total billed charges · bothfrom % of charges | 2 | $822 | $1.3k | $1.2k | 90% | — | $67 – $6.9k |
| 17 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $258 | $487 | $769 | 158% | — | $100 – $6.2k |
| 18 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 19 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $261 | $260 | 100% | — | $69 – $628 |
| 20 | Mercy Hospital Booneville Booneville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $95 | $185 | $152 | 82% | — | $44 – $548 |
| 21 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $170 | $91 | 53% | — | $98 – $298 |
| 22 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $165 | $110 | 67% | — | $91 – $490 |
| 23 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 24 | Mercy Hospital Ozark Ozark, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $60 | $60 | — | — | — | $60 – $60 |
| 25 | Mercy Hospital Paris Paris, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $64 | $13 | 20% | — | $49 – $84 |
← Payers reporting HCPCS C1725 · Snapshot 20261111T120946Z-9134e7f7