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 Wellmark 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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59 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $219.68 | $23.78 – $3,545 |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $208.70 | $22.59 – $3,368 |
| 3 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $276.00 | $276.00 – $276.00 |
| 4 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $276.00 | $276.00 – $276.00 |
| 5 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $207.20 | $207.20 – $207.20 |
| 6 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $759.89 | $759.89 – $759.89 |
| 7 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $759.89 | $759.89 – $759.89 |
| 8 | Avera St. Benedicts Parkston, SD outpatient | 1 | $832.80 | $832.80 – $832.80 |
| 9 | Avera St. Benedicts Parkston, SD percent of total billed charges · inpatientfrom % of charges | 1 | $173.05 | $115.92 – $287.32 |
| 10 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $173.05 | $115.92 – $287.32 |
| 11 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $211.50 | $211.50 – $211.50 |
| 12 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $211.50 | $211.50 – $211.50 |
| 13 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $232.40 | $232.40 – $232.40 |
| 14 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $232.40 | $232.40 – $232.40 |
| 15 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $217.39 | $15.31 – $4,801 |
| 16 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $397.98 | $18.95 – $9,467 |
| 17 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763.00 | $763.00 – $763.00 |
| 18 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $189.10 | $7.54 – $5,617 |
| 19 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $331.87 | $13.88 – $7,969 |
| 20 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $296.44 | $11.90 – $8,863 |
| 21 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $420.00 | $420.00 – $420.00 |
| 22 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $814.84 | $32.73 – $24,373 |
| 23 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $225.20 | $8.71 – $4,323 |
| 24 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $356.38 | $15.26 – $6,818 |
| 25 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $223.33 | $11.51 – $4,286 |
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