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
$486
Median
$279
High
$2.1k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 19.0× 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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54 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 Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $86 | $42 | 49% | 22–220 | $38 – $184 |
| 2 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $142 | $75 | 52% | 21–210 | $57 – $299 |
| 3 | Mercy Hospital Booneville Booneville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | $40 | 63% | 18 | $1 – $120 |
| 4 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $97 | $53 | 55% | 16–160 | $1 – $182 |
| 5 | Hospital Development Co Spencer, WV percent of total billed charges · bothfrom % of charges | 1 | $281 | $281 | — | — | 2–20 | $281 – $281 |
| 6 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $160 | $160 | $4 | 2% | 2–20 | $156 – $163 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · inpatient | 1 | $514 | $514 | — | — | 1–10 | $514 – $514 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · outpatient | 1 | $514 | $514 | — | — | 1–10 | $514 – $514 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $152 | $152 | — | — | 1–10 | $152 – $152 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · outpatient | 1 | $152 | $152 | — | — | 1–10 | $152 – $152 |
| 11 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 12 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $187 | $331 | $806 | 243% | — | $14 – $6.1k |
| 13 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL per diem · inpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 14 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | $55 | 39% | — | $88 – $199 |
| 15 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 17 | East Morgan County Hospital Brush, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $696 | $1.4k | $1.3k | 96% | — | $135 – $4.0k |
| 18 | FISHERMENS HEALTH, INC MARATHON, FL percent of total billed charges · bothfrom % of charges | 2 | $292 | $439 | $546 | 124% | — | $24 – $5.4k |
| 19 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 1 | $643 | $1.5k | $2.0k | 132% | — | $136 – $5.9k |
| 20 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $200 | $200 | — | — | — | $200 – $200 |
| 21 | Grossmont Hospital Corporation La Mesa, CA fee schedule · outpatient | 1 | $1 | $1 | $0 | 13% | — | $1 – $1 |
| 22 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $721 | $888 | $718 | 81% | — | $13 – $2.5k |
| 23 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $791 | $897 | $583 | 65% | — | $67 – $2.1k |
| 24 | Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $182 | $257 | $309 | 120% | — | $33 – $1.5k |
| 25 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $298 | $388 | $259 | 67% | — | $101 – $1.0k |
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