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
1197989 - STENT TRIA 4.8FR 26CM BRAID SUT FIRM 3 LAYER LG INNER LUM
Burlington, WI
See all hospitals reporting HCPCS C2617 →Price type
Aurora Medical Center Burlington’s median price of $403 is 37% above the median hospital's median price ($294), higher than 63% of the 1,613 hospitals reporting HCPCS C2617. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 21 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $326.26 | $275.72 | $98.85 – $326.26 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $398.76 | $337.00 | $120.82 – $398.76 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $398.76 | $337.00 | $120.82 – $398.76 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $398.76 | $337.00 | $120.82 – $398.76 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $398.76 | $337.00 | $120.82 – $398.76 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $402.79 | $340.40 | $122.04 – $402.79 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $402.79 | $340.40 | $122.04 – $402.79 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $402.79 | $340.40 | $122.04 – $402.79 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $436.35 | $368.76 | $132.21 – $436.35 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $503.48 | $425.50 | $152.55 – $503.48 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $503.48 | $425.50 | $152.55 – $503.48 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $503.48 | $425.50 | $152.55 – $503.48 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $503.48 | $425.50 | $152.55 – $503.48 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $554.50 | $468.61 | $168.01 – $554.50 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $554.50 | $468.61 | $168.01 – $554.50 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $565.24 | $477.69 | $171.26 – $565.24 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $565.24 | $477.69 | $171.26 – $565.24 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $567.93 | $479.96 | $172.08 – $567.93 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $567.93 | $479.96 | $172.08 – $567.93 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $570.61 | $482.23 | $172.89 – $570.61 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $570.61 | $482.23 | $172.89 – $570.61 |
Last updated: Nov 21, 2025
See Ureteral stent, 6 French, 24 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.