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 Devoted 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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45 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Banner Payson Medical Center Payson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,277 | $43.30 – $3,552 |
| 2 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $276.00 | $6.58 – $2,800 |
| 3 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $276.00 | $6.58 – $2,800 |
| 4 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $1,225 | $81.45 – $2,230 |
| 5 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $295.84 | $4.40 – $840.00 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $52.50 | $52.50 – $52.50 |
| 7 | Clarion Hospital Clarion, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $108.23 | $17.60 – $452.20 |
| 8 | Dickenson Community Hospital CLINTWOOD, VA percent of total billed charges · bothfrom % of charges | 1 | $728.28 | $17.22 – $6,978 |
| 9 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $226.83 | $197.32 – $689.93 |
| 10 | East Cooper Medical Center LLC Mt Pleasant, SC percent of total billed charges · bothfrom % of charges | 2 | $1,043 | $40.00 – $6,709 |
| 11 | East Morgan County Hospital Brush, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,339 | $45.41 – $3,725 |
| 12 | Hancock County Hospital SNEEDVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $1,734 | $40.76 – $16,515 |
| 13 | Hilton Head Medical Center LLC Hilton Head Island, SC percent of total billed charges · bothfrom % of charges | 2 | $277.73 | $41.25 – $672.25 |
| 14 | Honokaa Hospital and Skilled Nursing Facility Honokaa, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $630.95 | $90.72 – $2,056 |
| 15 | Johnson County Community Hospital MOUNTAIN CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $704.01 | $16.64 – $6,745 |
| 16 | Kau Hospital Pahala, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $255.38 | $36.72 – $832.32 |
| 17 | Lancaster General Health Lancaster, PA facility · other · outpatient | 1 | $742.79 | $8.40 – $3,900 |
| 18 | Lee County Community Hospital PENNINGTON GAP, VA percent of total billed charges · bothfrom % of charges | 1 | $534.07 | $12.63 – $5,117 |
| 19 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $213.05 | $7.15 – $6,500 |
| 20 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $138.28 | $10.46 – $853.09 |
| 21 | Mercy Hospital Booneville Booneville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63.71 | $4.59 – $197.74 |
| 22 | Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42.05 | $6.86 – $119.99 |
| 23 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $73.30 | $61.15 – $83.28 |
| 24 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $58.72 | $20.08 – $105.80 |
| 25 | Mercy Hospital Waldron Waldron, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $39.76 | $3.92 – $98.94 |
← Payers reporting HCPCS C1894 · Snapshot 20261108T055240Z-43b7dac7