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 LUBRI-FLEX 4.5X28CM 5554528
Carthage, MO
See all hospitals reporting HCPCS C2617 →Price type
Mercy Hospital Carthage’s median price of $134 is 54% below the median hospital's median price ($294), higher than 16% 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: 15 payers, 31 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 hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $52.47 | $63.55 | $52.47 – $85.71 |
| 2 | Aetna hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges | $52.47 | $63.55 | $52.47 – $85.71 |
| 3 | Blue Cross Blue Shield hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $52.47 | $63.55 | $52.47 – $85.71 |
| 4 | Blue Cross Blue Shield hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges | $52.47 | $63.55 | $52.47 – $85.71 |
| 5 | Cigna hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $52.47 | $63.55 | $52.47 – $85.71 |
| 6 | Humana hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $52.47 | $63.55 | $52.47 – $85.71 |
| 7 | Medica hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $52.47 | $63.55 | $52.47 – $85.71 |
| 8 | Medicare hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges | $52.47 | $63.55 | $52.47 – $85.71 |
| 9 | UnitedHealthcare hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges | $52.47 | $63.55 | $52.47 – $85.71 |
| 10 | UnitedHealthcare hb cthg uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $52.47 | $63.55 | $52.47 – $85.71 |
| 11 | Tricare hb cthg tricare facility · percent of total billed charges · outpatientfrom % of charges | $52.66 | $63.78 | $52.66 – $86.03 |
| 12 | WellCare hb cthg wellcare medicare 103% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $54.03 | $65.44 | $54.03 – $88.26 |
| 13 | Devoted hb cthg devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $54.57 | $66.09 | $54.57 – $89.14 |
| 14 | Humana hb cthg humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $57.30 | $69.40 | $57.30 – $93.60 |
| 15 | Anthem hb cthg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $85.95 | $104.10 | $85.95 – $140.40 |
| 16 | Anthem hb cthg anthem blue access/access choice facility · percent of total billed charges · outpatientfrom % of charges | $85.95 | $104.10 | $85.95 – $140.40 |
| 17 | Blue Cross Blue Shield hb cthg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $85.95 | $104.10 | $85.95 – $140.40 |
| 18 | Blue Cross Blue Shield hb cthg anthem blue access/access choice facility · percent of total billed charges · outpatientfrom % of charges | $85.95 | $104.10 | $85.95 – $140.40 |
| 19 | Blue Cross Blue Shield hb cthg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $85.95 | $104.10 | $85.95 – $140.40 |
| 20 | Blue Cross Blue Shield hb cthg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $85.95 | $104.10 | $85.95 – $140.40 |
| 21 | Blue Cross Blue Shield hb cthg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $85.95 | $104.10 | $85.95 – $140.40 |
| 22 | Ambetter hb cthg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $104.86 | $127.00 | $104.86 – $171.29 |
| 23 | Optum hb cthg uhc facility · percent of total billed charges · outpatientfrom % of charges | $158.53 | $192.01 | $158.53 – $258.96 |
| 24 | UnitedHealthcare hb cthg uhc facility · percent of total billed charges · outpatientfrom % of charges | $158.53 | $192.01 | $158.53 – $258.96 |
| 25 | UnitedHealthcare hb cthg uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $158.53 | $192.01 | $158.53 – $258.96 |
Last updated: Jun 9, 2026
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