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
$218
Average
$2.2k
Median
$1.8k
High
$7.3k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
49 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.
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62 hospital rates
iThe hospitals that file a Highmark 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 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 2 | $5.0k | $5.0k | $1.4k | 28% | 4–40 | $3.6k – $8.0k |
| 2 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 3 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $456 | $3.5k | $6.3k | 177% | — | $146 – $28.6k |
| 4 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $971 | $1.3k | $820 | 63% | — | $448 – $2.6k |
| 5 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · both | 4 | $218 | $218 | — | — | — | $218 – $218 |
| 6 | Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges | 4 | $1.6k | $5.6k | $7.5k | 134% | — | $113 – $32.0k |
| 7 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $2.3k | $2.1k | $362 | 17% | — | $1.7k – $2.7k |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.0k | $170 | 17% | — | $792 – $1.3k |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.8k | $302 | 17% | — | $1.4k – $2.2k |
| 10 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.6k | $268 | 17% | — | $1.3k – $2.0k |
| 11 | Lancaster General Health Lancaster, PA facility · other · outpatient | 5 | $951 | $1.1k | $759 | 69% | — | $141 – $3.6k |
| 12 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · inpatientfrom % of charges | 5 | $1.3k | $1.5k | $951 | 61% | — | $291 – $3.6k |
| 13 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $4.6k | $4.4k | $736 | 17% | — | $3.4k – $5.5k |
| 14 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $968 | $163 | 17% | — | $762 – $1.2k |
| 15 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.0k | $343 | 17% | — | $1.6k – $2.5k |
| 16 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $960 | $162 | 17% | — | $756 – $1.2k |
| 17 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $7.9k | $7.1k | $2.4k | 33% | — | $379 – $10.3k |
| 18 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $4.6k | $4.4k | $736 | 17% | — | $3.4k – $5.5k |
| 19 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · other · outpatient | 2 | $7.3k | $7.3k | $4.4k | 60% | — | $2.9k – $11.7k |
| 20 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $1.7k | $1.7k | $527 | 31% | — | $773 – $2.4k |
| 21 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.6k | $267 | 17% | — | $1.2k – $2.0k |
| 22 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $706 | $669 | $113 | 17% | — | $527 – $838 |
| 23 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.5k | $296 | 19% | — | $1.2k – $2.0k |
| 24 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $838 | $794 | $134 | 17% | — | $625 – $994 |
| 25 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $755 | $715 | $121 | 17% | — | $563 – $895 |
← Payers reporting HCPCS C1877 · Snapshot 20261111T120946Z-9134e7f7