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
$882
Median
$495
High
$28.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1456 hospitals; the 90th percentile is 12.1× 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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2,008 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 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $468 | $759 | $911 | 120% | 1,650–3,063 | $5 – $4.1k |
| 2 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $484 | $640 | $549 | 86% | 1,597–2,533 | $5 – $4.1k |
| 3 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $233 | $478 | $1.1k | 233% | 1,200–12,000 | $3 – $16.6k |
| 4 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $31 | $81 | $165 | 205% | 1,005–10,050 | $3 – $1.0k |
| 5 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $59 | $123 | $152 | 124% | 456–4,560 | $8 – $863 |
| 6 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN percent of total billed charges · bothfrom % of charges | 7 | $114 | $348 | $1.7k | 492% | 452–4,520 | $10 – $27.3k |
| 7 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 12 | $114 | $345 | $1.7k | 487% | 452–4,520 | $10 – $27.3k |
| 8 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 2 | $120 | $270 | $698 | 259% | 402–4,020 | $1 – $12.6k |
| 9 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $326 | $554 | $991 | 179% | 400–4,000 | $5 – $15.8k |
| 10 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $312 | $540 | $1.1k | 198% | 400–4,000 | $7 – $15.0k |
| 11 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $138 | $323 | $871 | 270% | 400–4,000 | $2 – $19.8k |
| 12 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $283 | $472 | $833 | 177% | 400–4,000 | $5 – $11.9k |
| 13 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $138 | $331 | $879 | 266% | 400–4,000 | $1 – $19.4k |
| 14 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 4 | $234 | $446 | $924 | 207% | 399–3,990 | $1 – $16.8k |
| 15 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $199 | $422 | $1.0k | 242% | 399–3,990 | $3 – $15.3k |
| 16 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $330 | $562 | $1.1k | 198% | 398–3,980 | $7 – $16.7k |
| 17 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $307 | $518 | $915 | 177% | 398–3,980 | $4 – $14.2k |
| 18 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 7 | $222 | $488 | $1.2k | 253% | 398–3,980 | $2 – $21.8k |
| 19 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $243 | $399 | $702 | 176% | 398–3,980 | $4 – $10.1k |
| 20 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 2 | $250 | $480 | $990 | 206% | 397–3,970 | $1 – $16.7k |
| 21 | Saint Francis Hospital and Medical Center Hartford, CT facility · percent of total billed charges · bothfrom % of charges | 2 | $108 | $224 | $548 | 245% | 397–3,970 | $2 – $7.9k |
| 22 | Atrium Health Hospitals Inc Kings Mountain, NC other · outpatient | 2 | $292 | $292 | — | — | 294–2,940 | $292 – $292 |
| 23 | Carolinas Medical Center Charlotte, NC other · outpatient | 2 | $217 | $217 | $20 | 9% | 294–2,940 | $197 – $237 |
| 24 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC other · outpatient | 2 | $1.4k | $1.4k | — | — | 294–2,940 | $1.4k – $1.4k |
| 25 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $219 | $454 | $816 | 180% | 266–2,660 | $0 – $6.7k |
← Payers reporting HCPCS C1751 · Snapshot 20261111T120946Z-9134e7f7