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
The hospitals that file a Bcbs Mn 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.
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46 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $713.62 | $3.00 – $3,913 |
| 2 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $638.90 | $1.61 – $4,053 |
| 3 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $713.62 | $3.00 – $3,913 |
| 4 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $544.57 | $2.20 – $3,725 |
| 5 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $698.11 | $1.61 – $5,508 |
| 6 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $713.62 | $3.00 – $3,913 |
| 7 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $713.62 | $3.00 – $3,913 |
| 8 | Allina Health Systems River Falls, WI facility · percent of total billed charges · outpatientfrom % of charges | 3 | $607.55 | $2.51 – $3,272 |
| 9 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $698.11 | $1.61 – $5,508 |
| 10 | Allina Health Systems Buffalo, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $713.62 | $3.00 – $3,913 |
| 11 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 4 | $0.01 | $0.01 – $0.01 |
| 12 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 3 | $108.98 | $17.92 – $380.59 |
| 13 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 3 | $112.26 | $18.46 – $392.03 |
| 14 | Fairview Health Services Edina, MN other · inpatient | 3 | $25.86 | $23.18 – $27.46 |
| 15 | Fairview Health Services Edina, MN other · outpatient | 1 | $23.18 | $23.18 – $23.18 |
| 16 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 3 | $80.89 | $13.65 – $275.83 |
| 17 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $67.22 | $67.22 – $67.22 |
| 18 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 3 | $80.89 | $13.65 – $275.83 |
| 19 | Fairview Health Services Burnsville, MN other · inpatient | 2 | $26.01 | $24.06 – $27.95 |
| 20 | Fairview Health Services Burnsville, MN other · outpatient | 1 | $24.06 | $24.06 – $24.06 |
| 21 | Fairview Health Services Burnsville, MN percent of total billed charges · outpatientfrom % of charges | 3 | $80.89 | $13.65 – $275.83 |
| 22 | Fairview Health Services Wyoming, MN percent of total billed charges · outpatientfrom % of charges | 3 | $80.89 | $13.65 – $275.83 |
| 23 | Fairview Health Services Princeton, MN other · inpatient | 1 | $22.61 | $22.61 – $22.61 |
| 24 | Fairview Health Services Princeton, MN percent of total billed charges · outpatientfrom % of charges | 3 | $80.89 | $13.65 – $275.83 |
| 25 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 1 | $113.75 | $113.75 – $113.75 |
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