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
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube
Helena, CA
See all hospitals reporting CPT 36905 →Price type
St Helena Hospital’s median price of $10.6k is 11% below the median hospital's median price ($11.9k), higher than 32% of the 2,045 hospitals reporting CPT 36905. 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, 39 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 | Medicaid medi-cal fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Blue Cross Blue Shield blue shield bh mcr adv fee schedule · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 3 | Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 4 | Blue Cross Blue Shield tricare blue shield fee schedule · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 5 | Kaiser kaiser mcr adv fee schedule · outpatient | $399 | $399 | — | — | — | $399 – $399 |
| 6 | Kaiser kaiser-all other plans fee schedule · outpatient | $479 | $479 | — | — | — | $479 – $479 |
| 7 | Cigna cigna-all other plans fee schedule · outpatient | $543 | $543 | — | — | — | $543 – $543 |
| 8 | UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient | $587 | $587 | — | — | — | $587 – $587 |
| 9 | UnitedHealthcare uhc jll fee schedule · outpatient | $587 | $587 | — | — | — | $587 – $587 |
| 10 | UnitedHealthcare uhc options ppo fee schedule · outpatient | $587 | $587 | — | — | — | $587 – $587 |
| 11 | UnitedHealthcare uhc select/select plus fee schedule · outpatient | $587 | $587 | — | — | — | $587 – $587 |
| 12 | Aetna aetna-all plans fee schedule · outpatient | $624 | $624 | — | — | — | $624 – $624 |
| 13 | Blue Cross Blue Shield blue shield epn-all other plans fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 14 | Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 15 | Aetna aetna-all plans case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 16 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 17 | Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 18 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 19 | Blue Cross Blue Shield blue cross non mcs case rate · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 20 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 21 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 22 | Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 23 | Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 24 | Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges | $13.6k | $13.6k | $12.7k | 94% | — | $853 – $26.3k |
| 25 | Blue Cross Blue Shield blue shield bh mcr adv other · outpatient | $15.3k | $15.3k | — | — | — | $15.3k – $15.3k |
Last updated: Jul 15, 2026
See Dialysis access clot removal using a catheter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.