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
HCHG STENT TEMP NONCOR W DEL PR1910
Ulm, MN
See all hospitals reporting HCPCS C2625 →Price type
Allina Health Systems’s median price of $319 is 19% below the median hospital's median price ($392), higher than 39% of the 1,529 hospitals reporting HCPCS C2625. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $108 | $348 | $590 | 169% | — | $16 – $2.8k |
| 2 | Bcbs Mn bc pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $148 | $477 | $808 | 169% | — | $22 – $3.8k |
| 3 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $171 | $550 | $932 | 169% | — | $25 – $4.3k |
| 4 | Bcbs Mn bc premier(n) facility · percent of total billed charges · outpatientfrom % of charges | $177 | $571 | $967 | 169% | — | $26 – $4.5k |
| 5 | Bcbs Mn bc state health plan (n) facility · percent of total billed charges · outpatientfrom % of charges | $188 | $603 | $1.0k | 169% | — | $28 – $4.8k |
| 6 | Blue Cross Blue Shield bc aehp (n) facility · percent of total billed charges · outpatientfrom % of charges | $209 | $672 | $1.1k | 169% | — | $31 – $5.3k |
| 7 | Bcbs Mn bc high value/performance network (n) facility · percent of total billed charges · outpatientfrom % of charges | $224 | $721 | $1.2k | 169% | — | $33 – $5.7k |
| 8 | Medicaid medicaid ma (n) facility · other · outpatient | $235 | $758 | $1.3k | 169% | — | $35 – $6.0k |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $239 | $769 | $1.3k | 169% | — | $36 – $6.1k |
| 10 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $242 | $779 | $1.3k | 169% | — | $36 – $6.2k |
| 11 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $250 | $805 | $1.4k | 169% | — | $37 – $6.4k |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $330 | $1.1k | $1.8k | 169% | — | $49 – $8.4k |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $333 | $1.1k | $1.8k | 169% | — | $50 – $8.5k |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $356 | $1.1k | $1.9k | 169% | — | $53 – $9.1k |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $360 | $1.2k | $2.0k | 169% | — | $53 – $9.1k |
| 16 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $430 | $1.4k | $2.3k | 169% | — | $64 – $10.9k |
| 17 | Cigna hpi cigna (n) facility · other · outpatient | $440 | $1.4k | $2.4k | 169% | — | $65 – $11.2k |
| 18 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $452 | $1.5k | $2.5k | 169% | — | $67 – $11.5k |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $452 | $1.5k | $2.5k | 169% | — | $67 – $11.5k |
| 20 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $452 | $1.5k | $2.5k | 169% | — | $67 – $11.5k |
| 21 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $455 | $1.5k | $2.5k | 169% | — | $68 – $11.6k |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $459 | $1.5k | $2.5k | 169% | — | $68 – $11.7k |
Last updated: Jun 16, 2026
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