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
STENT ENDOVASCULAR ICAST 6MM X 22MM X 120CM 42622
Duluth, MN
See all hospitals reporting HCPCS C1875 →Price type
Essentia Health Duluth’s median price of $3.2k is 4% below the median hospital's median price ($3.3k), higher than 48% of the 829 hospitals reporting HCPCS C1875. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 9 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 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.2k | $675 | 30% | — | $1.6k – $2.9k |
| 3 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $2.3k | $2.3k | $700 | 30% | — | $1.6k – $3.0k |
| 4 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.5k | $2.5k | $736 | 30% | — | $1.7k – $3.2k |
| 5 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $3.3k | $3.3k | $979 | 30% | — | $2.3k – $4.2k |
| 6 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.6k | $3.6k | $1.1k | 30% | — | $2.5k – $4.6k |
| 7 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $3.6k | $3.6k | $1.1k | 30% | — | $2.5k – $4.7k |
| 8 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $4.1k | $4.1k | $1.2k | 30% | — | $2.9k – $5.4k |
| 9 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $4.6k | $4.6k | $1.4k | 30% | — | $3.2k – $6.0k |
Last updated: Jan 1, 2026
See Airway stent for trachea or bronchus, 18x60 mm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.