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
1213664 - GUIDE NRV L3 CM RSRB BCMPT SEMIPERMEABLE TUBE ID2 MM
Summit, WI
See all hospitals reporting HCPCS C9352 →Price type
Aurora Medical Center Summit’s median price of $5.4k is 143% above the median hospital's median price ($2.2k), higher than 88% of the 986 hospitals reporting HCPCS C9352. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna hmo fee schedule · outpatient | $967 | $967 | — | — | — | $967 – $967 |
| 2 | Cigna ppo-gppo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 3 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 4 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 5 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 6 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 7 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 8 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 9 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 10 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
Last updated: Nov 21, 2025
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