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 Molina 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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429 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176.28 | $176.28 – $176.28 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $123.17 | $0.05 – $1,922 |
| 3 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $49.00 | $6.94 – $130.45 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5,388 | $5,388 – $5,388 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $231.07 | $0.48 – $2,949 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $179.49 | $0.33 – $2,703 |
| 7 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $829.91 | $0.02 – $28,144 |
| 8 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $5.94 | $5.94 – $5.94 |
| 9 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $37.30 | $5.26 – $131.05 |
| 10 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 1 | $356.51 | $0.42 – $3,245 |
| 11 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 1 | $309.80 | $119.19 – $547.09 |
| 12 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 1 | $138.66 | $42.31 – $309.00 |
| 13 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 1 | $264.74 | $14.44 – $3,553 |
| 14 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $102.14 | $13.03 – $287.15 |
| 15 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $362.62 | $20.83 – $2,874 |
| 16 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 1 | $246.81 | $11.23 – $4,385 |
| 17 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · outpatientfrom % of charges | 1 | $326.60 | $321.92 – $335.92 |
| 18 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 1 | $177.29 | $0.02 – $1,426 |
| 19 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 1 | $117.94 | $13.03 – $1,066 |
| 20 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 1 | $146.72 | $27.46 – $1,563 |
| 21 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 1 | $150.84 | $9.77 – $646.35 |
| 22 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · outpatientfrom % of charges | 1 | $211.00 | $36.98 – $533.38 |
| 23 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $250.77 | $15.53 – $1,851 |
| 24 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $791.42 | $10.35 – $9,744 |
| 25 | Aurora St Lukes South Shore of Aurora Health Care Metro Inc Cudahy, WI percent of total billed charges · outpatientfrom % of charges | 1 | $237.69 | $32.10 – $1,094 |
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