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
HC STENT NON CORONARY WO/DEL SYS TEMP IMPLANT LVL 13
Panguitch, UT
See all hospitals reporting HCPCS C2617 →Price type
Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital’s median price of $526 is 79% above the median hospital's median price ($294), higher than 74% 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: 7 payers, 37 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 aetna medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $215.36 | $522.62 | $82.04 – $2,755 |
| 2 | Aetna aetna medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $215.36 | $522.62 | $82.04 – $2,755 |
| 3 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $215.36 | $522.62 | $82.04 – $2,755 |
| 4 | Molina molina healthcare medicaid hmo facility · percent of total billed charges · outpatientfrom % of charges | $215.36 | $522.62 | $82.04 – $2,755 |
| 5 | Molina molina medicare complete care hmo snp facility · percent of total billed charges · outpatientfrom % of charges | $238.04 | $577.64 | $90.68 – $3,046 |
| 6 | Tricare tricare (hnfs) military program facility · percent of total billed charges · outpatientfrom % of charges | $245.46 | $595.65 | $93.51 – $3,141 |
| 7 | Tricare tricare (hnfs) military program facility · percent of total billed charges · inpatientfrom % of charges | $291.93 | $708.43 | $111.21 – $3,735 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $464.73 | $1,128 | $177.04 – $5,946 |
| 9 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $476.07 | $1,155 | $181.36 – $6,091 |
| 10 | Molina medicaid facility · percent of total billed charges · inpatientfrom % of charges | $504.41 | $1,224 | $192.15 – $6,454 |
| 11 | Molina molina healthcare medicaid hmo facility · percent of total billed charges · inpatientfrom % of charges | $504.41 | $1,224 | $192.15 – $6,454 |
| 12 | Aetna aetna extended network facility · percent of total billed charges · inpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
| 13 | Aetna aetna standard network aka aetna health plan network for utah facility · percent of total billed charges · inpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
| 14 | Aetna aetna standard network aka aetna health plan network for utah facility · percent of total billed charges · outpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
| 15 | Aetna aetna utah connected network facility · percent of total billed charges · inpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
| 16 | Aetna aetna utah connected network facility · percent of total billed charges · outpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
| 17 | Aetna aetna whole health connected utah network facility · percent of total billed charges · inpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
| 18 | Blue Cross Blue Shield bcbs association-blue card ppo plan facility · percent of total billed charges · inpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
| 19 | Blue Cross Blue Shield bcbs association-blue card ppo plan facility · percent of total billed charges · outpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
| 20 | Blue Cross Blue Shield bcbs association-blue card traditional plan facility · percent of total billed charges · inpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
| 21 | Blue Cross Blue Shield bcbs association-blue card traditional plan facility · percent of total billed charges · outpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
| 22 | Cigna cigna managed care (hmo or open access plus aka oap) facility · percent of total billed charges · inpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
| 23 | Cigna cigna managed care (hmo or open access plus aka oap) facility · percent of total billed charges · outpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
| 24 | Cigna cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
| 25 | Cigna cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $538.41 | $1,307 | $205.10 – $6,889 |
Last updated: Aug 5, 2026
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