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 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.
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71 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $268.37 | $26.00 – $555.00 |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $35.33 | $35.33 – $35.33 |
| 3 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $601.21 | $41.48 – $7,701 |
| 4 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $3,560 | $3,560 – $3,560 |
| 5 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $1,376 | $22.20 – $12,248 |
| 6 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $5,899 | $5,899 – $5,899 |
| 7 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $570.01 | $8.14 – $3,460 |
| 8 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $354.23 | $13.00 – $855.00 |
| 9 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $209.20 | $181.99 – $636.30 |
| 10 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $1,104 | $106.00 – $15,000 |
| 11 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $290.87 | $24.72 – $3,073 |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $272.69 | $23.17 – $2,881 |
| 13 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $578.45 | $41.48 – $7,701 |
| 14 | 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 | $560.54 | $2.83 – $5,983 |
| 15 | 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 | $471.31 | $2.38 – $5,031 |
| 16 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 1 | $181.78 | $20.00 – $267.04 |
| 17 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $276.08 | $12.25 – $2,041 |
| 18 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $291.71 | $49.00 – $2,041 |
| 19 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $3,439 | $3,439 – $3,439 |
| 20 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $421.95 | $0.03 – $15,507 |
| 21 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $360.45 | $0.02 – $15,222 |
| 22 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $580.53 | $30.00 – $3,478 |
| 23 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $425.81 | $19.75 – $2,700 |
| 24 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $436.16 | $2.48 – $5,358 |
| 25 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $2,084 | $380.00 – $4,500 |
← Payers reporting HCPCS C1894 · Snapshot 20261108T055240Z-43b7dac7