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 URET ULTR W/O GW 5FX18CM POLARIS ULTRA
Grand Rapids, MI
See all hospitals reporting HCPCS C2617 →Price type
Mercy Health Saint Marys’s median price of $233 is 21% below the median hospital's median price ($294), higher than 40% 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: 21 payers, 24 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 | Oscar oscar epo facility · percent of total billed charges · bothfrom % of charges | $103.47 | $134.23 | $6.90 – $2,570 |
| 2 | Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges | $156.82 | $204.12 | $10.52 – $3,917 |
| 3 | Anthem bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $171.58 | $223.33 | $11.51 – $4,286 |
| 4 | Blue Cross Blue Shield bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $171.58 | $223.33 | $11.51 – $4,286 |
| 5 | Carefirst bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $171.58 | $223.33 | $11.51 – $4,286 |
| 6 | Excellus bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $171.58 | $223.33 | $11.51 – $4,286 |
| 7 | Highmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $171.58 | $223.33 | $11.51 – $4,286 |
| 8 | Kaiser bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $171.58 | $223.33 | $11.51 – $4,286 |
| 9 | Premera bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $171.58 | $223.33 | $11.51 – $4,286 |
| 10 | Regence bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $171.58 | $223.33 | $11.51 – $4,286 |
| 11 | Wellmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $171.58 | $223.33 | $11.51 – $4,286 |
| 12 | Aetna aetna ppo facility · percent of total billed charges · bothfrom % of charges | $222.81 | $290.02 | $14.95 – $5,566 |
| 13 | Medical Mutual aetna ppo facility · percent of total billed charges · bothfrom % of charges | $222.81 | $290.02 | $14.95 – $5,566 |
| 14 | Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges | $231.79 | $301.70 | $15.55 – $5,790 |
| 15 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $258.86 | $336.94 | $17.36 – $6,466 |
| 16 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $259.00 | $337.12 | $17.37 – $6,470 |
| 17 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $259.00 | $337.12 | $17.37 – $6,470 |
| 18 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $269.65 | $350.98 | $18.09 – $6,736 |
| 19 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $270.00 | $351.44 | $18.11 – $6,745 |
| 20 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $270.00 | $351.44 | $18.11 – $6,745 |
| 21 | First Health first health ppo facility · percent of total billed charges · bothfrom % of charges | $281.00 | $365.75 | $18.85 – $7,019 |
| 22 | Humana humana lifesynch facility · percent of total billed charges · bothfrom % of charges | $354.80 | $461.81 | $23.80 – $8,863 |
| 23 | Magellan magellan facility · percent of total billed charges · bothfrom % of charges | $354.80 | $461.81 | $23.80 – $8,863 |
| 24 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $354.80 | $461.81 | $23.80 – $8,863 |
Last updated: Mar 31, 2026
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.