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
$245
Average
$7.1k
Median
$2.1k
High
$47.0k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 39.3× 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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26 hospital rates
iThe hospitals that file a Devoted 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 | Banner Payson Medical Center Payson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.7k | $5.9k | $5.0k | 85% | — | $202 – $15.8k |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 3 | Dickenson Community Hospital CLINTWOOD, VA percent of total billed charges · bothfrom % of charges | 1 | $15.0k | $19.9k | $15.5k | 78% | — | $3.7k – $40.8k |
| 4 | East Morgan County Hospital Brush, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.9k | $6.2k | $5.3k | 85% | — | $211 – $16.6k |
| 5 | Hancock County Hospital SNEEDVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $35.6k | $47.0k | $36.7k | 78% | — | $8.8k – $96.6k |
| 6 | Johnson County Community Hospital MOUNTAIN CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $14.5k | $19.2k | $15.0k | 78% | — | $3.6k – $39.5k |
| 7 | Lancaster General Health Lancaster, PA facility · other · outpatient | 1 | $533 | $618 | $380 | 61% | — | $116 – $1.4k |
| 8 | Lee County Community Hospital PENNINGTON GAP, VA percent of total billed charges · bothfrom % of charges | 1 | $11.0k | $14.6k | $11.4k | 78% | — | $2.7k – $29.9k |
| 9 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $374 | $489 | $367 | 75% | — | $132 – $975 |
| 10 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $236 | $374 | $320 | 86% | — | $54 – $840 |
| 11 | Mercy Hospital Booneville Booneville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $542 | $542 | — | — | — | $542 – $542 |
| 12 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Northwest Sahurita Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Page Hospital Page, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.1k | $7.6k | $6.5k | 85% | — | $261 – $20.4k |
| 16 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $293 | $464 | $397 | 86% | — | $67 – $1.0k |
| 17 | SAMARITAN PACIFIC HEALTH SERVICES INC Newport, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $426 | $364 | 86% | — | $62 – $956 |
| 18 | SID Peterson Memorial Hospital Kerrville, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $244 | $245 | $27 | 11% | — | $218 – $273 |
| 19 | SID Peterson Memorial Hospital Kerrville, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $245 | $27 | 11% | — | $218 – $273 |
| 20 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · outpatientfrom % of charges | 1 | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 21 | UCHealth Pikes Peak Regional Hospital Woodland Park, CO percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 22 | USA Health Children's & Women's Hospital Mobile, AL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $15.6k | $14.4k | $4.3k | 30% | — | $3.3k – $17.3k |
| 23 | USA Health University Hospital Mobile, AL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $15.6k | $14.4k | $4.3k | 30% | — | $3.3k – $17.3k |
| 24 | University Hospitals Health System Geneva, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $729 | $673 | $295 | 44% | — | $141 – $1.4k |
| 25 | University of Florida Health Gainesville, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | $337 | 30% | — | $630 – $1.7k |
← Payers reporting HCPCS C1877 · Snapshot 20261111T120946Z-9134e7f7