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
PORT INFUSION IV APHERESIS 9.6FR ATTACHABLE POLYURETHANE VALVED INTRODUCER SILICONE BODY INTERMEDIATE CONFIGURATION KIT
Low
$1
Average
$1.4k
Median
$875
High
$84.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1365 hospitals; the 90th percentile is 8.7× 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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2,016 hospital rates
iThe hospitals that file a Aetna 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 | East Carolina Health Ahoskie, NC percent of total billed charges · bothfrom % of charges | 3 | $967 | $1.1k | $631 | 56% | 124–1,240 | $23 – $4.7k |
| 2 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 4 | $632 | $908 | $948 | 104% | 85–850 | $289 – $9.1k |
| 3 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 2 | $160 | $184 | $121 | 66% | 74–740 | $59 – $928 |
| 4 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 3 | $433 | $557 | $661 | 119% | 74–740 | $15 – $5.5k |
| 5 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC percent of total billed charges · bothfrom % of charges | 3 | $884 | $1.0k | $575 | 56% | 62–620 | $21 – $4.2k |
| 6 | Virtua_Memorial_Hospital_Inc | Holly, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $245 | $245 | $15 | 6% | 56–560 | $230 – $260 |
| 7 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $230 | $230 | — | — | 56–560 | $230 – $230 |
| 8 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $230 | $230 | — | — | 56–560 | $230 – $230 |
| 9 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $689 | $823 | $438 | 53% | 52–250 | $388 – $2.6k |
| 10 | Piedmont Henry Stockbridge, GA percent of total billed charges · bothfrom % of charges | 2 | $1.9k | $2.5k | $1.7k | 69% | 52–520 | $1.5k – $9.8k |
| 11 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 10 | $440 | $442 | $164 | 37% | 51–510 | $73 – $1.3k |
| 12 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $540 | $585 | $207 | 35% | 50–284 | $347 – $1.1k |
| 13 | Duke University Hospital Durham, NC facility · other · outpatient | 2 | $601 | $601 | $1 | 0% | 49–310 | $600 – $602 |
| 14 | Duke University Hospital Raleigh, NC facility · other · outpatient | 2 | $601 | $601 | $1 | 0% | 49–310 | $600 – $602 |
| 15 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $2.7k | $5.1k | $6.9k | 135% | 47–470 | $307 – $27.9k |
| 16 | Duke Regional Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $798 | $878 | $402 | 46% | 40–400 | $184 – $2.4k |
| 17 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 3 | $445 | $455 | $239 | 52% | 38–380 | $2 – $1.3k |
| 18 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $526 | $535 | $272 | 51% | 36–360 | $21 – $1.5k |
| 19 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $435 | $497 | $285 | 57% | 36–360 | $19 – $1.6k |
| 20 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $690 | $791 | $449 | 57% | 36–360 | $55 – $2.5k |
| 21 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $586 | $664 | $387 | 58% | 35–350 | $26 – $2.2k |
| 22 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $522 | $580 | $336 | 58% | 35–350 | $23 – $1.8k |
| 23 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $261 | $299 | $174 | 58% | 34–340 | $21 – $939 |
| 24 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 3 | $426 | $451 | $241 | 54% | 34–340 | $15 – $1.4k |
| 25 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $268 | $307 | $185 | 60% | 32–320 | $12 – $963 |
← Payers reporting HCPCS C1788 · Snapshot 20261111T120946Z-9134e7f7