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 Highmark 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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65 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $717.11 | $394.15 – $1,607 |
| 2 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $477.40 | $73.00 – $747.00 |
| 3 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $5,627 | $5,627 – $5,627 |
| 4 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $356.83 | $46.77 – $1,166 |
| 5 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $857.08 | $64.50 – $20,686 |
| 6 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $726.06 | $54.89 – $4,382 |
| 7 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $5,899 | $5,899 – $5,899 |
| 8 | Davis Medical Center Elkins, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,665 | $233.76 – $6,400 |
| 9 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · both | 4 | $1,815 | $1,815 – $1,815 |
| 10 | F.F. Thompson Hospital Canandaigua, NY other · outpatient | 1 | $166.28 | $166.28 – $166.28 |
| 11 | Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges | 4 | $1,356 | $49.20 – $22,113 |
| 12 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $5,555 | $5,555 – $5,555 |
| 13 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $397.98 | $18.95 – $9,467 |
| 14 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763.00 | $763.00 – $763.00 |
| 15 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $189.10 | $7.54 – $5,617 |
| 16 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $331.87 | $13.88 – $7,969 |
| 17 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $296.44 | $11.90 – $8,863 |
| 18 | Lancaster General Health Lancaster, PA facility · other · outpatient | 5 | $218.55 | $18.43 – $851.90 |
| 19 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · inpatientfrom % of charges | 5 | $305.47 | $38.00 – $845.00 |
| 20 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $814.84 | $32.73 – $24,373 |
| 21 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $225.20 | $8.71 – $4,323 |
| 22 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $356.38 | $15.26 – $6,818 |
| 23 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $223.33 | $11.51 – $4,286 |
| 24 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $1,411 | $346.77 – $12,828 |
| 25 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $4,002 | $4,002 – $4,002 |
← Payers reporting HCPCS C2617 · Snapshot 20261108T203506Z-bb90dbab