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
$105
Average
$517
Median
$321
High
$3.2k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
66 hospitals; the 90th percentile is 6.8× 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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89 hospital rates
iThe hospitals that file a Wellmark 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 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $318 | $473 | $549 | 116% | 60–600 | $3 – $3.3k |
| 2 | Avera Heart Hospital Sioux Falls, SD case rate · outpatient | 2 | $677 | $677 | — | — | 32 | $677 – $677 |
| 3 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $3.2k | $3.2k | — | — | 32 | $3.2k – $3.2k |
| 4 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $210 | $210 | — | — | 12–120 | $210 – $210 |
| 5 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $210 | $210 | — | — | 12–120 | $210 – $210 |
| 6 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $291 | $291 | — | — | 8–80 | $291 – $291 |
| 7 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $291 | $291 | — | — | 8–80 | $291 – $291 |
| 8 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $221 | $221 | — | — | 3–30 | $221 – $221 |
| 9 | Avera St. Anthony's Hospital O'Neill, NE outpatient | 1 | $238 | $238 | — | — | 3–30 | $238 – $238 |
| 10 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $221 | $215 | $11 | 5% | 3–30 | $200 – $226 |
| 11 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $221 | $215 | $11 | 5% | 3–30 | $200 – $226 |
| 12 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $132 | $132 | — | — | 2–20 | $132 – $132 |
| 13 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $194 | $287 | $314 | 110% | — | $10 – $1.8k |
| 14 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $184 | $272 | $298 | 110% | — | $10 – $1.7k |
| 15 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $775 | $775 | $300 | 39% | — | $475 – $1.1k |
| 16 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $775 | $775 | $300 | 39% | — | $475 – $1.1k |
| 17 | Avera Merrill Pioneer Rock Rapids, IA percent of total billed charges · inpatientfrom % of charges | 2 | $541 | $541 | — | — | — | $541 – $541 |
| 18 | Avera Milbank Hospital Milbank, SD percent of total billed charges · inpatientfrom % of charges | 1 | $211 | $211 | $19 | 9% | — | $192 – $230 |
| 19 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $211 | $211 | $19 | 9% | — | $192 – $230 |
| 20 | Avera St. Benedicts Parkston, SD percent of total billed charges · inpatientfrom % of charges | 1 | $300 | $300 | $155 | 52% | — | $145 – $455 |
| 21 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $300 | $300 | $155 | 52% | — | $145 – $455 |
| 22 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $179 | $308 | $612 | 198% | — | $1 – $8.6k |
| 23 | Floyd Valley Healthcare Le Mars, IA percent of total billed charges · inpatientfrom % of charges | 2 | $119 | $105 | $26 | 24% | — | $69 – $127 |
| 24 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · both | 2 | $233 | $263 | $54 | 20% | — | $217 – $338 |
| 25 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $193 | $218 | $45 | 20% | — | $180 – $281 |
← Payers reporting HCPCS C1751 · Snapshot 20261111T120946Z-9134e7f7