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
$0
Average
$1.2k
Median
$826
High
$10.1k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
765 hospitals; the 90th percentile is 14.7× 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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1,005 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | 4 | $75 | $81 | $39 | 48% | 260–2,600 | $8 – $242 |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $457 | $515 | $396 | 77% | 227–515 | $36 – $2.0k |
| 3 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $806 | $912 | $598 | 66% | 199–1,549 | $375 – $4.1k |
| 4 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $343 | $443 | $257 | 58% | 196–601 | $206 – $1.3k |
| 5 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $519 | $610 | $346 | 57% | 163–1,459 | $38 – $1.9k |
| 6 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $519 | $610 | $346 | 57% | 159–1,455 | $38 – $1.9k |
| 7 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $540 | $570 | $210 | 37% | 154–505 | $347 – $1.3k |
| 8 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $70 | $82 | $52 | 64% | 148–1,480 | $27 – $408 |
| 9 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 2 | $279 | $313 | $179 | 57% | 105–1,050 | $12 – $963 |
| 10 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $477 | $496 | $226 | 46% | 89–575 | $186 – $1.3k |
| 11 | Saint Luke’s Hospital of Chillicothe Chillicothe, MO percent of total billed charges · bothfrom % of charges | 18 | $760 | $827 | $192 | 23% | 81–810 | $557 – $1.2k |
| 12 | Duke Regional Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $791 | $594 | $258 | 43% | 78–780 | $71 – $980 |
| 13 | Piedmont Athens Regional Athens, GA percent of total billed charges · bothfrom % of charges | 2 | $747 | $860 | $711 | 83% | 65–650 | $38 – $5.2k |
| 14 | Piedmont Augusta Augusta, GA percent of total billed charges · bothfrom % of charges | 3 | $625 | $716 | $593 | 83% | 65–650 | $31 – $4.4k |
| 15 | Piedmont Henry Stockbridge, GA percent of total billed charges · bothfrom % of charges | 2 | $747 | $860 | $711 | 83% | 65–650 | $38 – $5.2k |
| 16 | Piedmont Newton Covington, GA percent of total billed charges · bothfrom % of charges | 2 | $747 | $860 | $711 | 83% | 65–650 | $38 – $5.2k |
| 17 | Duplin General Hospital, Inc. Kenansville, NC percent of total billed charges · bothfrom % of charges | 3 | $531 | $594 | $449 | 76% | 62–620 | $9 – $3.5k |
| 18 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC percent of total billed charges · bothfrom % of charges | 3 | $432 | $507 | $336 | 66% | 62–620 | $9 – $2.7k |
| 19 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $362 | $469 | $248 | 53% | 57–255 | $186 – $1.3k |
| 20 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $305 | $305 | — | — | 56–560 | $305 – $305 |
| 21 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $218 | $218 | — | — | 52 | $218 – $218 |
| 22 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $218 | $218 | — | — | 52 | $218 – $218 |
| 23 | Connecticut Children's Hartford, CT percent of total billed charges · outpatientfrom % of charges | 2 | $2.5k | $5.1k | $6.8k | 134% | 47–470 | $323 – $26.4k |
| 24 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 5 | $478 | $448 | $154 | 34% | 45–189 | $96 – $706 |
| 25 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | — | — | 44 | $1.1k – $1.1k |
← Payers reporting HCPCS C1788 · Snapshot 20261111T120946Z-9134e7f7