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
STENT URETERAL IMAJIN 6FR 28CM OPEN END LOOPX2 DBL J ANGLE TIP SILICONE W/ORCHESTRA STEERABLE PUSH
The hospitals that file a Anthem 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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532 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 2 | $4,326 | $361.13 – $17,146 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176.28 | $176.28 – $176.28 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $281.36 | $215.15 – $347.56 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $144.09 | $56.10 – $336.78 |
| 5 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $212.38 | $212.38 – $212.38 |
| 6 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 2 | $220.34 | $56.18 – $470.17 |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $210.06 | $0.64 – $1,399 |
| 8 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $174.08 | $0.37 – $1,421 |
| 9 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $995.84 | $108.35 – $17,546 |
| 10 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $886.09 | $64.17 – $17,709 |
| 11 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,124 | $156.96 – $17,195 |
| 12 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $970.50 | $112.05 – $17,195 |
| 13 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 2 | $263.04 | $37.25 – $496.17 |
| 14 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $353.98 | $353.98 – $353.98 |
| 15 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 2 | $259.44 | $34.31 – $515.50 |
| 16 | Appalachian Regional Healthcare, Inc. Harlan, KY other · outpatient | 1 | $567.51 | $567.51 – $567.51 |
| 17 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 2 | $294.64 | $32.46 – $569.25 |
| 18 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $284.59 | $162.69 – $375.23 |
| 19 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 3 | $234.37 | $114.84 – $375.23 |
| 20 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · inpatientfrom % of charges | 1 | $409.67 | $172.89 – $570.61 |
| 21 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 3 | $337.38 | $122.04 – $570.61 |
| 22 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $735.00 | $735.00 – $735.00 |
| 23 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 3 | $654.50 | $609.00 – $724.50 |
| 24 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · inpatientfrom % of charges | 1 | $482.23 | $172.89 – $570.61 |
| 25 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 3 | $397.13 | $122.04 – $570.61 |
← Payers reporting HCPCS C2617 · Snapshot 20261108T203506Z-bb90dbab