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
INTRDCR SHTH ANSEL3 6FX45CM .018/.038 HYDROPHILIC COATING
64 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +27 other terms | 114 | $312.38 | $396.39 | $0.01 – $90,944 |
| 2 | MultiPlan fee schedule · outpatient · +15 other terms | 86 | $860.08 | $884.58 | $0.01 – $136,463 |
| 3 | Cigna fee schedule · outpatient · +22 other terms | 63 | $908.27 | $843.23 | $0.01 – $54,974 |
| 4 | Aetna fee schedule · outpatient · +24 other terms | 60 | $344.11 | $509.77 | $0.01 – $34,224 |
| 5 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms | 53 | $839.87 | $902.23 | $0.29 – $76,450 |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 50 | $392.67 | $448.42 | $0.01 – $53,098 |
| 7 | Humana fee schedule · outpatient · +17 other terms | 47 | $248.51 | $439.80 | $0.01 – $51,047 |
| 8 | Medcost percent of total billed charges · bothfrom % of charges · +5 other terms | 43 | $805.46 | $1,241 | $0.48 – $84,644 |
| 9 | Anthem fee schedule · outpatient · +22 other terms | 34 | $1,339 | $1,569 | $0.01 – $23,035 |
| 10 | Kaiser fee schedule · outpatient · +17 other terms | 34 | $1,465 | $996.47 | $0.36 – $18,123 |
| 11 | First Health fee schedule · outpatient · +14 other terms | 32 | $2,246 | $1,948 | $0.01 – $87,726 |
| 12 | Molina fee schedule · outpatient · +19 other terms | 29 | $257.51 | $357.52 | $0.01 – $38,431 |
| 13 | Medicaid fee schedule · outpatient · +11 other terms | 28 | $871.03 | $350.41 | $0.19 – $62,341 |
| 14 | Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 26 | $262.07 | $222.70 | $34.01 – $581.04 |
| 15 | Amerihealth Caritas other · outpatient · +6 other terms | 25 | $147.70 | $151.14 | $0.15 – $7,949 |
| 16 | Medica fee schedule · outpatient · +10 other terms | 22 | $395.18 | $414.73 | $0.01 – $27,084 |
| 17 | Beechstreet percent of total billed charges · outpatientfrom % of charges · +4 other terms | 21 | $312.91 | $410.58 | $0.02 – $156,739 |
| 18 | Ambetter other · outpatient · +11 other terms | 20 | $6,257 | $6,277 | $2.34 – $1,073,119 |
| 19 | Aetna Better Health other · outpatient · +8 other terms | 19 | $100.51 | $148.58 | $0.15 – $7,949 |
| 20 | Bcbs La fee schedule · outpatient · +3 other terms | 19 | $0.02 | $0.02 | $0.01 – $0.03 |
| 21 | Highmark facility · fee schedule · outpatient · +11 other terms | 19 | $148.24 | $216.42 | $39.04 – $26,704 |
| 22 | Phcs fee schedule · inpatient · +11 other terms | 19 | $487.27 | $523.02 | $0.01 – $18,382 |
| 23 | Tricare facility · fee schedule · outpatient · +11 other terms | 19 | $570.01 | $567.42 | $8.14 – $15,000 |
| 24 | Bcbs Az facility · fee schedule · outpatient · +1 other terms | 16 | $183.57 | $183.92 | $68.83 – $243.46 |
| 25 | Caresource fee schedule · outpatient · +14 other terms | 16 | $121.68 | $113.43 | $0.20 – $8,008 |
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