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
HB-Pentaray Mapping Catheter
Low
$1
Average
$4.2k
Median
$1.8k
High
$15.4k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 10617.3× 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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25 hospital rates
iThe hospitals that file a Medicaid 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $1.4k | $1.8k | $1.1k | 63% | — | $0 – $4.0k |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.5k | $924 | 63% | — | $0 – $3.2k |
| 3 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $1.8k | $1.9k | $1.1k | 56% | — | $91 – $3.9k |
| 4 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $424 | $424 | — | — | — | $424 – $424 |
| 5 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $424 | $424 | — | — | — | $424 – $424 |
| 6 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $9.1k | $9.1k | $294 | 3% | — | $8.8k – $9.4k |
| 7 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $6.5k | $7.6k | $2.8k | 37% | — | $4.1k – $12.5k |
| 11 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $870 | $847 | $144 | 17% | — | $625 – $1.0k |
| 12 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $5.8k | $5.9k | $1.7k | 28% | — | $3.2k – $8.1k |
| 13 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 14 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $885 | $885 | $74 | 8% | — | $811 – $959 |
| 15 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $1.4k | $1.4k | $306 | 22% | — | $1.1k – $1.7k |
| 16 | Ohio State University Hospitals Columbus, OH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $1.4k | $1.4k | $306 | 22% | — | $1.1k – $1.7k |
| 18 | RIDEOUT MEMORIAL HOSPITAL Marysville, CA fee schedule · outpatient | 1 | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 19 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $11.6k | $11.0k | $1.6k | 15% | — | $8.8k – $12.6k |
| 20 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.9k | $726 | 39% | — | $605 – $3.0k |
| 21 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.3k | $495 | 39% | — | $412 – $2.0k |
| 22 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $5.8k | $5.9k | $1.7k | 28% | — | $3.2k – $8.1k |
| 23 | UMass Memorial Health - Harrington Hospital, Inc. 2nd Floor Webster, MA percent of total billed charges · bothfrom % of charges | 2 | $10.6k | $11.1k | $5.5k | 50% | — | $4.1k – $24.0k |
| 24 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 3 | $7.4k | $9.0k | $5.5k | 61% | — | $2.6k – $24.0k |
| 25 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA fee schedule · outpatient | 1 | $15.4k | $15.4k | $6.6k | 43% | — | $8.8k – $22.0k |
← Payers reporting HCPCS C2630 · Snapshot 20261111T120946Z-9134e7f7