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
$177
Average
$731
Median
$489
High
$2.7k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 6.6× 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.
Filter by billing methodology
Filter by billing class
77 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 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $1.5k | $1.5k | — | — | 54 | $1.5k – $1.5k |
| 2 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 2 | $279 | $313 | $179 | 57% | 35–350 | $12 – $963 |
| 3 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $815 | $815 | — | — | 5–50 | $815 – $815 |
| 4 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $815 | $815 | — | — | 5–50 | $815 – $815 |
| 5 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $642 | $642 | — | — | 4–40 | $642 – $642 |
| 6 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $2.7k | $2.7k | — | — | 2–20 | $2.7k – $2.7k |
| 7 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $2.4k | $2.4k | — | — | 2–20 | $2.4k – $2.4k |
| 8 | Avera Sacred Heart Hospital Yankton, SD outpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 9 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $717 | $717 | — | — | 1–10 | $717 – $717 |
| 10 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $938 | $938 | — | — | 1–10 | $938 – $938 |
| 11 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $526 | $526 | — | — | 1–10 | $526 – $526 |
| 12 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 13 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 14 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $466 | $489 | $359 | 73% | — | $98 – $2.0k |
| 15 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $443 | $465 | $341 | 73% | — | $93 – $1.9k |
| 16 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $717 | $717 | — | — | — | $717 – $717 |
| 17 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $717 | $717 | — | — | — | $717 – $717 |
| 18 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 2 | $603 | $603 | $147 | 24% | — | $456 – $751 |
| 19 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · inpatientfrom % of charges | 1 | $717 | $717 | — | — | — | $717 – $717 |
| 20 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $526 | $526 | — | — | — | $526 – $526 |
| 21 | Avera St. Benedicts Parkston, SD percent of total billed charges · inpatientfrom % of charges | 1 | $626 | $626 | — | — | — | $626 – $626 |
| 22 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $626 | $626 | — | — | — | $626 – $626 |
| 23 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $387 | $441 | $251 | 57% | — | $31 – $1.4k |
| 24 | Floyd Valley Healthcare Le Mars, IA percent of total billed charges · inpatientfrom % of charges | 2 | $804 | $804 | $5 | 1% | — | $799 – $809 |
| 25 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1.8k | $1.9k | $1.2k | 62% | — | $203 – $3.9k |
← Payers reporting HCPCS C1788 · Snapshot 20261111T120946Z-9134e7f7