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
$1.6k
Median
$846
High
$300.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1282 hospitals; the 90th percentile is 12.4× 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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1,727 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Piedmont Atlanta Atlanta, GA percent of total billed charges · bothfrom % of charges | 2 | $590 | $1.0k | $1.7k | 164% | 4,090–40,900 | $0 – $41.1k |
| 2 | Piedmont Augusta Augusta, GA percent of total billed charges · bothfrom % of charges | 2 | $544 | $942 | $1.5k | 164% | 4,090–40,900 | $0 – $37.9k |
| 3 | Piedmont Cartersville Cartersville, GA percent of total billed charges · bothfrom % of charges | 2 | $590 | $1.0k | $1.7k | 164% | 4,090–40,900 | $0 – $41.1k |
| 4 | Piedmont Newnan Newnan, GA percent of total billed charges · bothfrom % of charges | 2 | $590 | $1.0k | $1.7k | 164% | 4,090–40,900 | $0 – $41.1k |
| 5 | Piedmont Rockdale Conyers, GA percent of total billed charges · bothfrom % of charges | 2 | $590 | $1.0k | $1.7k | 164% | 4,090–40,900 | $0 – $41.1k |
| 6 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.5k | $1.9k | 126% | 3,267–32,670 | $54 – $15.6k |
| 7 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $385 | $590 | $543 | 92% | 2,952–29,340 | $1 – $6.7k |
| 8 | Duke Regional Hospital Durham, NC facility · other · outpatient | 1 | $768 | $768 | — | — | 2,919–29,190 | $768 – $768 |
| 9 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 12 | $251 | $448 | $714 | 159% | 2,529–25,290 | $16 – $14.9k |
| 10 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 7 | $200 | $468 | $862 | 184% | 2,522–25,220 | $0 – $13.7k |
| 11 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN percent of total billed charges · bothfrom % of charges | 2 | $261 | $621 | $1.2k | 195% | 2,518–25,180 | $0 – $21.8k |
| 12 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 3 | $189 | $432 | $858 | 198% | 2,415–24,150 | $0 – $16.1k |
| 13 | Reid Health Richmond, IN percent of total billed charges · bothfrom % of charges | 11 | $259 | $820 | $1.2k | 150% | 2,168–21,680 | $7 – $8.2k |
| 14 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 6 | $449 | $748 | $1.1k | 148% | 2,138–21,380 | $69 – $11.7k |
| 15 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 6 | $449 | $748 | $1.1k | 148% | 2,138–21,380 | $69 – $11.7k |
| 16 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $283 | $425 | 150% | 2,056–20,560 | $70 – $4.1k |
| 17 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $283 | $425 | 150% | 2,056–20,560 | $70 – $4.1k |
| 18 | Sanford Fargo Medical Center Fargo, ND percent of total billed charges · outpatientfrom % of charges | 2 | $568 | $753 | $689 | 91% | 2,045–20,450 | $193 – $10.6k |
| 19 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $2.4k | $3.0k | 122% | 1,845–18,450 | $370 – $23.7k |
| 20 | Missouri Baptist Medical Center Saint Louis, MO percent of total billed charges · bothfrom % of charges | 2 | $273 | $565 | $836 | 148% | 1,809–18,090 | $13 – $9.0k |
| 21 | Mercy Hospital Ardmore Inc Ardmore, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $182 | $280 | $292 | 104% | 1,493–14,930 | $70 – $4.1k |
| 22 | Hutchinson Regional Medical Center, Inc. Hutchinson, KS facility · percent of total billed charges · bothfrom % of charges | 1 | $603 | $713 | $129 | 18% | 1,466–14,660 | $359 – $840 |
| 23 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $194 | $329 | $508 | 154% | 1,460–14,600 | $103 – $9.3k |
| 24 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 3 | $664 | $2.1k | $4.8k | 235% | 1,417–14,170 | $0 – $55.6k |
| 25 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $950 | $704 | 74% | 1,346–12,902 | $171 – $1.6k |
← Payers reporting HCPCS C1725 · Snapshot 20261111T120946Z-9134e7f7