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
KIT PROCEDURE 21GA L65CM WITH 0.035IN GUIDE WIRE NEVER OUCH
Low
$396
Average
$3.4k
Median
$2.2k
High
$9.4k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 7.8× 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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49 hospital rates
iThe hospitals that file a Tricare 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 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $9.1k | $9.4k | $4.0k | 42% | — | $458 – $15.6k |
| 2 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 3 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $2.2k | $1.1k | 49% | — | $860 – $3.8k |
| 4 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 5 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $9.5k | $9.3k | $3.2k | 35% | — | $5.8k – $12.5k |
| 6 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $543 | $850 | $701 | 82% | — | $498 – $2.7k |
| 7 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $509 | $797 | $657 | 82% | — | $467 – $2.5k |
| 8 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $9.1k | $9.4k | $4.0k | 42% | — | $458 – $15.6k |
| 9 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.7k | $1.7k | $757 | 44% | — | $713 – $3.3k |
| 10 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | $637 | 44% | — | $599 – $2.8k |
| 11 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 12 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 13 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 1 | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 14 | Hemet Global Medical Center Hemet, CA professional · fee schedule · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 15 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.5k | $899 | 62% | — | $16 – $2.6k |
| 16 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.3k | $828 | 64% | — | $11 – $2.2k |
| 17 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $3.4k | $3.4k | $102 | 3% | — | $3.3k – $3.5k |
| 18 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.9k | $1.3k | 67% | — | $1.0k – $4.1k |
| 19 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | Marshall County HMA, LLC Madill, OK facility · fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 22 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $709 | $1.6k | $1.6k | 102% | — | $385 – $5.1k |
| 23 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $875 | $1.9k | $1.9k | 100% | — | $475 – $6.0k |
| 24 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $581 | $1.4k | $1.6k | 109% | — | $316 – $4.8k |
| 25 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $621 | $1.6k | $1.8k | 111% | — | $338 – $5.4k |
← Payers reporting HCPCS C1888 · Snapshot 20261111T120946Z-9134e7f7