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
TRAY CATH MAX BARRIER 5FR 3LUM SHERLK POLYURETH PURPL
Low
$0
Average
$1.1k
Median
$574
High
$139.5k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1282 hospitals; the 90th percentile is 10.7× 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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1,731 hospital rates
iThe hospitals that file a Cigna 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 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $47 | $124 | $267 | 215% | 670–6,700 | $3 – $1.8k |
| 2 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 4 | $128 | $261 | $356 | 136% | 588–5,880 | $14 – $2k |
| 3 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 2 | $233 | $483 | $1.1k | 233% | 400–4,000 | $3 – $16.6k |
| 4 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $280 | $466 | $823 | 177% | 400–4,000 | $5 – $11.7k |
| 5 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $219 | $466 | $1.2k | 249% | 400–4,000 | $3 – $16.5k |
| 6 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $238 | $399 | $701 | 176% | 399–3,990 | $4 – $10.0k |
| 7 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $212 | $445 | $1.1k | 243% | 399–3,990 | $3 – $15.5k |
| 8 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $631 | $1.0k | $1.3k | 120% | 359 | $6 – $6.0k |
| 9 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $662 | $882 | $759 | 86% | 359 | $6 – $6.0k |
| 10 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $98 | $186 | $252 | 136% | 304–3,040 | $10 – $1.5k |
| 11 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $198 | $455 | $1.0k | 223% | 298–2,980 | $4 – $8.8k |
| 12 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $113 | $233 | $313 | 134% | 294–2,940 | $14 – $1.7k |
| 13 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 4 | $128 | $261 | $356 | 136% | 294–2,940 | $14 – $2k |
| 14 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $468 | $843 | $1.3k | 158% | 266–2,660 | $1 – $11.5k |
| 15 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $293 | $527 | $821 | 156% | 176–1,760 | $52 – $4.8k |
| 16 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $112 | $179 | $251 | 140% | 155–1,550 | $2 – $2.2k |
| 17 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 4 | $128 | $261 | $356 | 136% | 147–1,470 | $14 – $2k |
| 18 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $581 | $812 | $850 | 105% | 146–1,460 | $2 – $8.6k |
| 19 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $670 | $936 | $991 | 106% | 124–1,240 | $8 – $5.4k |
| 20 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $145 | $187 | $189 | 101% | 108–1,080 | $2 – $1.1k |
| 21 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $145 | $187 | $189 | 101% | 108–1,080 | $2 – $1.1k |
| 22 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $507 | $868 | $1.8k | 203% | 104–1,040 | $1 – $16.8k |
| 23 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 3 | $495 | $623 | $523 | 84% | 101–1,010 | $3 – $3.0k |
| 24 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 1 | $354 | $555 | $701 | 126% | 85–850 | $19 – $5.3k |
| 25 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 3 | $250 | $461 | $679 | 147% | 84–840 | $70 – $3.6k |
← Payers reporting HCPCS C1751 · Snapshot 20261111T120946Z-9134e7f7