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
SET, ACCESS URETERAL DUAL
Low
$0
Average
$343
Median
$283
High
$2.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 6.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 42 | $236 | $312 | $588 | 189% | 24–240 | $0 – $7.9k |
| 2 | Bcbs Il percent of total billed charges · bothfrom % of charges · +2 other terms | 7 | $175 | $240 | $357 | 149% | 16–160 | $6 – $1.2k |
| 3 | Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +2 other terms | 13 | $4 | $44 | $48 | 110% | 3–30 | $3 – $135 |
| 4 | UnitedHealthcare fee schedule · outpatient · +22 other terms | 106 | $194 | $246 | $254 | 103% | — | $1 – $1.8k |
| 5 | MultiPlan fee schedule · outpatient · +13 other terms | 80 | $316 | $362 | $312 | 86% | — | $37 – $1.7k |
| 6 | Cigna fee schedule · outpatient · +20 other terms | 58 | $238 | $296 | $269 | 91% | — | $1 – $1.8k |
| 7 | Aetna fee schedule · outpatient · +21 other terms | 54 | $133 | $228 | $262 | 115% | — | $1 – $1.6k |
| 8 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms | 51 | $555 | $722 | $1.9k | 261% | — | $22 – $25.5k |
| 9 | Medcost percent of total billed charges · bothfrom % of charges · +5 other terms | 44 | $454 | $351 | $149 | 43% | — | $64 – $2.6k |
| 10 | Humana fee schedule · outpatient · +13 other terms | 41 | $157 | $209 | $227 | 108% | — | $1 – $989 |
| 11 | Medical Mutual facility · percent of total billed charges · bothfrom % of charges · +3 other terms | 37 | $173 | $172 | $120 | 70% | — | $3 – $498 |
| 12 | Anthem fee schedule · outpatient · +15 other terms | 32 | $167 | $325 | $351 | 108% | — | $2 – $1.7k |
| 13 | First Health fee schedule · outpatient · +14 other terms | 31 | $359 | $376 | $329 | 88% | — | $13 – $1.7k |
| 14 | Kaiser fee schedule · outpatient · +11 other terms | 29 | $278 | $345 | $443 | 129% | — | $15 – $3.2k |
| 15 | Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 26 | $306 | $263 | $270 | 103% | — | $55 – $1.5k |
| 16 | Amerihealth Caritas other · outpatient · +5 other terms | 25 | $100 | $216 | $500 | 231% | — | $27 – $2.4k |
| 17 | Molina fee schedule · outpatient · +15 other terms | 25 | $94 | $186 | $353 | 190% | — | $1 – $3.2k |
| 18 | Medicaid fee schedule · outpatient · +9 other terms | 24 | $752 | $914 | $949 | 104% | — | $1 – $3.6k |
| 19 | Medica fee schedule · outpatient · +8 other terms | 21 | $223 | $245 | $207 | 84% | — | $33 – $933 |
| 20 | Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms | 20 | $15 | $417 | $587 | 141% | — | $15 – $2.7k |
| 21 | Aetna Better Health other · outpatient · +8 other terms | 19 | $75 | $109 | $132 | 121% | — | $27 – $1.3k |
| 22 | Ambetter other · outpatient · +8 other terms | 19 | $1.5k | $1.2k | $1.6k | 136% | — | $97 – $7.2k |
| 23 | Phcs fee schedule · inpatient · +9 other terms | 18 | $298 | $281 | $281 | 100% | — | $31 – $1.4k |
| 24 | Bcbs Az facility · fee schedule · outpatient · +1 other terms | 16 | $221 | $221 | $50 | 23% | — | $83 – $293 |
| 25 | Caresource facility · case rate · outpatient · +11 other terms | 15 | $185 | $199 | $46 | 23% | — | $124 – $315 |
← Hospitals reporting HCPCS C2627 · Snapshot 20261111T120946Z-9134e7f7