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
CATHETER BALLOON 6X200MM 130CM INPACT ADMIRAL
Low
$0
Average
$4.2k
Median
$3.0k
High
$45.6k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
597 hospitals; the 90th percentile is 7.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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742 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 1 | $8.3k | $8.3k | $2.4k | 29% | 315–3,150 | $5.8k – $16.5k |
| 2 | Piedmont Augusta Augusta, GA percent of total billed charges · bothfrom % of charges | 2 | $3.4k | $3.7k | $1.5k | 39% | 215–2,150 | $385 – $10.2k |
| 3 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $2.5k | $2.5k | — | — | 184–1,840 | $2.5k – $2.5k |
| 4 | Duke Regional Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4.1k | $3.7k | $2.1k | 56% | 175–1,750 | $1.7k – $11.3k |
| 5 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $421 | $421 | — | — | 145–1,450 | $421 – $421 |
| 6 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.2k | $536 | 46% | 142–1,420 | $570 – $2.9k |
| 7 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.2k | $536 | 46% | 142–1,420 | $570 – $2.9k |
| 8 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC percent of total billed charges · bothfrom % of charges | 3 | $1.8k | $2.2k | $893 | 41% | 100–1,000 | $1.3k – $5.4k |
| 9 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 3 | $1.7k | $2.1k | $885 | 42% | 100–1,000 | $1.2k – $5.3k |
| 10 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 3 | $1.7k | $2.1k | $885 | 42% | 100–1,000 | $1.2k – $5.3k |
| 11 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 9 | $2.1k | $1.8k | $773 | 42% | 94–760 | $358 – $3.3k |
| 12 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 4 | $2.7k | $3.2k | $1.2k | 36% | 59–491 | $2.1k – $5.6k |
| 13 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 4 | $2.7k | $3.2k | $1.2k | 36% | 59–491 | $2.1k – $5.6k |
| 14 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 50 | $2.2k | $2.2k | $36 | 2% | 58–94 | $2.1k – $2.2k |
| 15 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 5 | $1.7k | $1.8k | $720 | 40% | 57–570 | $302 – $3.4k |
| 16 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 6 | $2.1k | $2.1k | $439 | 21% | 52–520 | $1.5k – $3.3k |
| 17 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $2.3k | $2.4k | $543 | 23% | 45–450 | $34 – $4.0k |
| 18 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $2.6k | $2.7k | $419 | 16% | 43–430 | $1.9k – $3.7k |
| 19 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $3.9k | $4.0k | $745 | 19% | 18–180 | $2.2k – $5.0k |
| 20 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $3.9k | $4.0k | $745 | 19% | 18–180 | $2.2k – $5.0k |
| 21 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $1.3k | $1.5k | $275 | 19% | 15–150 | $1.3k – $2.4k |
| 22 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $1.3k | $1.4k | $334 | 24% | 11–110 | $855 – $2.2k |
| 23 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC fee schedule · both | 1 | $8.1k | $8.1k | — | — | 9–90 | $8.1k – $8.1k |
| 24 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC fee schedule · both | 1 | $8.1k | $8.1k | — | — | 9–90 | $8.1k – $8.1k |
| 25 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 50 | $1.9k | $1.9k | — | — | 5–50 | $1.9k – $1.9k |
← Payers reporting HCPCS C2623 · Snapshot 20261111T120946Z-9134e7f7