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
$4.8k
Median
$2.5k
High
$207.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
914 hospitals; the 90th percentile is 12.2× 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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1,250 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $5.0k | $6.0k | $5.0k | 82% | 64–640 | $250 – $13.5k |
| 2 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 2 | $799 | $2.7k | $4.6k | 170% | 44–440 | $40 – $26.2k |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $4.9k | $5.6k | $3.5k | 63% | 36–360 | $162 – $10.0k |
| 4 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $9.7k | $8.7k | $2.9k | 33% | 15–150 | $434 – $11.8k |
| 5 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $17.4k | $15.9k | $6.7k | 42% | 12 | $6.3k – $24.4k |
| 6 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $19.0k | $14.8k | $8.8k | 60% | 6–60 | $2.6k – $23.8k |
| 7 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 2 | $4.1k | $4.2k | $1.2k | 28% | 2–20 | $2.4k – $5.6k |
| 8 | Cumberland County Hospital System Inc Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $224 | — | — | 1–10 | $224 – $224 |
| 9 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10.5k | $10.5k | — | — | 1–10 | $10.5k – $10.5k |
| 10 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $2.9k | $3.4k | $2.7k | 79% | — | $55 – $7.6k |
| 11 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY percent of total billed charges · outpatientfrom % of charges | 1 | $12.4k | $14.1k | $11.2k | 79% | — | $233 – $32.0k |
| 12 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 3 | $2.1k | $2.6k | $840 | 32% | — | $1.9k – $3.9k |
| 13 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $2.2k | $2.3k | $174 | 8% | — | $2.0k – $2.6k |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 15 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 5 | $62.0k | $64.0k | $15.9k | 25% | — | $42.9k – $89.3k |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $834 | $969 | $653 | 67% | — | $834 – $4.8k |
| 17 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $782 | $908 | $612 | 67% | — | $782 – $4.5k |
| 18 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $800 | $1.5k | $1.4k | 94% | — | $158 – $5.8k |
| 19 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 1 | $2.5k | $3.0k | $1.9k | 61% | — | $836 – $7.5k |
| 20 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $2.2k | $2.4k | $1.6k | 66% | — | $537 – $7.5k |
| 21 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 2 | $759 | $1.4k | $1.4k | 97% | — | $141 – $5.8k |
| 22 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 1 | $2.5k | $3.1k | $1.9k | 61% | — | $862 – $7.7k |
| 23 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 3 | $1.6k | $2.0k | $1.5k | 79% | — | $378 – $7.7k |
| 24 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $1.7k | $1.9k | $1.3k | 67% | — | $405 – $5.8k |
| 25 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $780 | $1.5k | $1.4k | 96% | — | $150 – $5.8k |
← Payers reporting HCPCS C1877 · Snapshot 20261111T120946Z-9134e7f7