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
$8
Average
$1.2k
Median
$521
High
$8.5k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
114 hospitals; the 90th percentile is 15.7× 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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137 hospital rates
iThe hospitals that file a Optum 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 | 3 | $172 | $559 | $1.3k | 232% | 744–7,440 | $62 – $10.6k |
| 2 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $323 | $323 | — | — | 336–3,360 | $323 – $323 |
| 3 | Boston Children's Hospital Boston, MA case rate · both | 1 | $785 | $785 | — | — | 127 | $785 – $785 |
| 4 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 1 | $603 | $603 | — | — | 22 | $603 – $603 |
| 5 | Appalachian Regional Healthcare, Inc. Middlesboro, KY other · outpatient | 1 | $31 | $31 | — | — | 14–140 | $31 – $31 |
| 6 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $192 | $192 | — | — | 11 | $192 – $192 |
| 7 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $102 | $102 | — | — | 1–10 | $102 – $102 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 9 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $769 | $769 | $414 | 54% | — | $355 – $1.2k |
| 10 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $25 | $22 | 85% | — | $10 – $56 |
| 11 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $8 | $2 | 25% | — | $5 – $10 |
| 12 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $8 | $2 | 30% | — | $6 – $11 |
| 13 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $5.8k | $7.7k | 132% | — | $209 – $22.5k |
| 14 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $8 | $5 | 61% | — | $0 – $13 |
| 15 | Banner Churchill Community Hospital Fallon, NV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.6k | $1.2k | 74% | — | $272 – $4.2k |
| 16 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $787 | $1.5k | $2.0k | 130% | — | $0 – $18.3k |
| 17 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $787 | $1.5k | $2.0k | 130% | — | $0 – $18.3k |
| 18 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $998 | $1.7k | $2.6k | 154% | — | $531 – $48k |
| 19 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $334 | $312 | $36 | 12% | — | $261 – $342 |
| 20 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 3 | $334 | $312 | $36 | 12% | — | $261 – $342 |
| 21 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 3 | $334 | $312 | $36 | 12% | — | $261 – $342 |
| 22 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 3 | $334 | $312 | $36 | 12% | — | $261 – $342 |
| 23 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $334 | $312 | $36 | 12% | — | $261 – $342 |
| 24 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 3 | $334 | $312 | $36 | 12% | — | $261 – $342 |
| 25 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 3 | $334 | $312 | $36 | 12% | — | $261 – $342 |
← Payers reporting HCPCS C1725 · Snapshot 20261111T120946Z-9134e7f7