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
$1.2k
Median
$348
High
$20.8k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
169 hospitals; the 90th percentile is 40.2× 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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172 hospital rates
iThe hospitals that file a WellCare 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 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC percent of total billed charges · bothfrom % of charges | 1 | $217 | $358 | $528 | 147% | 2,138–21,380 | $39 – $5.4k |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $211 | $348 | $546 | 157% | 229–2,290 | $53 – $5.0k |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $211 | $348 | $546 | 157% | 229–2,290 | $53 – $5.0k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $309 | $485 | 157% | 229–2,290 | $47 – $4.4k |
| 5 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $258 | $425 | $667 | 157% | 229–2,290 | $65 – $6.1k |
| 6 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $273 | $538 | 197% | 70 | $0 – $3.3k |
| 7 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 1 | $463 | $463 | — | — | 53 | $463 – $463 |
| 8 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 1 | $212 | $351 | $517 | 147% | 46 | $38 – $5.3k |
| 9 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 1 | $212 | $351 | $517 | 147% | 46 | $38 – $5.3k |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $309 | $485 | 157% | 40 | $47 – $4.4k |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $211 | $348 | $546 | 157% | 28 | $53 – $5.0k |
| 12 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $30 | $39 | 131% | 16 | $6 – $146 |
| 13 | Appalachian Regional Healthcare, Inc. Middlesboro, KY other · outpatient | 1 | $25 | $25 | — | — | 14–140 | $25 – $25 |
| 14 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 1 | $147 | $269 | $454 | 169% | 14 | $16 – $8.8k |
| 15 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $55 | $47 | 86% | 6–60 | $9 – $121 |
| 16 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $317 | $317 | — | — | 1–10 | $317 – $317 |
| 17 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 1 | $450 | $450 | — | — | 1–10 | $450 – $450 |
| 18 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 1 | $567 | $567 | — | — | 1–10 | $567 – $567 |
| 19 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $215 | — | — | 1–10 | $215 – $215 |
| 20 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $266 | $266 | — | — | 1–10 | $266 – $266 |
| 21 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $282 | $282 | — | — | 1–10 | $282 – $282 |
| 22 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $105 | $176 | 168% | — | $0 – $2.8k |
| 23 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $193 | $286 | $260 | 91% | — | $9 – $2.1k |
| 24 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $11 | $25 | $22 | 85% | — | $10 – $56 |
| 25 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 2 | $9 | $8 | $2 | 25% | — | $5 – $10 |
← Payers reporting HCPCS C1725 · Snapshot 20261111T120946Z-9134e7f7