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
STENT PERIPHERAL BILIARY OVER THE WIRE STAINLESS STEEL STERILE BALLOON EXPANDING LARGE DIAMETER 5 CELL DESIGN SHEATH UNMOUNTED NON COMPLIANT LATEX FREE INTRASTENT 3.8X36MM
Low
$0
Average
$4.1k
Median
$3.1k
High
$20.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 10.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Florida Blue percent of total billed charges · bothfrom % of charges · +1 other terms | 1 | $2.1k | $2.1k | $920 | 43% | 14–140 | $864 – $4.1k |
| 2 | UnitedHealthcare fee schedule · outpatient · +22 other terms | 91 | $2.0k | $4.8k | $9.2k | 193% | — | $1 – $203.7k |
| 3 | MultiPlan fee schedule · inpatient · +13 other terms | 75 | $3.4k | $8.5k | $25.4k | 298% | — | $52 – $223.6k |
| 4 | Cigna fee schedule · outpatient · +21 other terms | 59 | $3.2k | $6.2k | $11.8k | 190% | — | $39 – $159.0k |
| 5 | Aetna fee schedule · outpatient · +20 other terms | 57 | $1.3k | $8.3k | $20.2k | 245% | — | $1 – $218.6k |
| 6 | Blue Cross Blue Shield fee schedule · inpatient · +22 other terms | 41 | $3.4k | $3.7k | $3.1k | 84% | — | $30 – $27.7k |
| 7 | Humana fee schedule · outpatient · +14 other terms | 40 | $1.8k | $5.7k | $5.2k | 91% | — | $1 – $47.9k |
| 8 | Medical Mutual facility · percent of total billed charges · bothfrom % of charges · +3 other terms | 37 | $1.9k | $4.7k | $4.1k | 87% | — | $166 – $14.1k |
| 9 | Anthem fee schedule · outpatient · +14 other terms | 30 | $2.4k | $2.5k | $2.6k | 104% | — | $13 – $24.7k |
| 10 | First Health fee schedule · outpatient · +13 other terms | 30 | $3.3k | $8.0k | $8.6k | 107% | — | $124 – $41.8k |
| 11 | Medcost percent of total billed charges · bothfrom % of charges · +5 other terms | 28 | $11.8k | $10.3k | $8.7k | 85% | — | $252 – $129.6k |
| 12 | Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 26 | $2.5k | $2.2k | $1.3k | 56% | — | $241 – $5.6k |
| 13 | Kaiser fee schedule · outpatient · +12 other terms | 26 | $2.9k | $6.5k | $14.2k | 220% | — | $15 – $149.1k |
| 14 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 25 | $605 | $652 | $419 | 64% | — | $43 – $2.5k |
| 15 | Phcs fee schedule · inpatient · +9 other terms | 24 | $9.1k | $7.7k | $6.1k | 79% | — | $298 – $23.5k |
| 16 | Molina fee schedule · outpatient · +15 other terms | 23 | $1.2k | $11.3k | $13.7k | 122% | — | $1 – $85.9k |
| 17 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms | 22 | $4.7k | $5.3k | $4.8k | 89% | — | $0 – $53.9k |
| 18 | Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms | 20 | $1.8k | $2.2k | $1.9k | 86% | — | $413 – $16.1k |
| 19 | Aetna Better Health other · outpatient · +8 other terms | 19 | $2.8k | $3.5k | $5.1k | 147% | — | $1 – $38.1k |
| 20 | Amerihealth Caritas other · outpatient · +5 other terms | 19 | $2.8k | $3.4k | $5.1k | 147% | — | $1 – $38.1k |
| 21 | Bcbs La fee schedule · outpatient · +2 other terms | 19 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Medica fee schedule · outpatient · +9 other terms | 17 | $2.6k | $2.7k | $1.7k | 64% | — | $238 – $7.6k |
| 23 | Bcbs Az facility · fee schedule · outpatient · +1 other terms | 16 | $981 | $982 | $224 | 23% | — | $368 – $1.3k |
| 24 | Caresource facility · case rate · outpatient · +11 other terms | 15 | $185 | $193 | $27 | 14% | — | $124 – $315 |
| 25 | Highmark facility · fee schedule · outpatient · +7 other terms | 14 | $2.1k | $2.0k | $1.2k | 59% | — | $526 – $5.0k |
← Hospitals reporting HCPCS C1877 · Snapshot 20261111T120946Z-9134e7f7