RC 624
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
CATHETER, BALLOON, SIROLIMUS COATED, 0.018, 3.00 X 100MM X 120CM IDE#G220307
Elyria, OH
See all hospitals reporting RC 624 →Price type
University Hospitals Health System’s median price of $0 is 100% below the median hospital's median price ($1.1k), higher than 11% of the 423 hospitals reporting RC 624. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 30 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 | Medical Mutual medflex commercial facility · percent of total billed charges · outpatientfrom % of charges | $0 | $18.1k | $23.4k | 129% | — | $0 – $49.5k |
| 2 | Medical Mutual northern ohio commercial facility · percent of total billed charges · outpatientfrom % of charges | $0 | $19.6k | $25.4k | 129% | — | $0 – $53.7k |
| 3 | Medical Mutual supermed ppo facility · percent of total billed charges · outpatientfrom % of charges | $0 | $19.9k | $25.7k | 129% | — | $0 – $54.5k |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $24.1k | $20.1k | $7.6k | 38% | — | $5.9k – $24.1k |
| 5 | Anthem medicare advantage facility · fee schedule · outpatient | $24.1k | $20.1k | $7.6k | 38% | — | $5.9k – $24.1k |
| 6 | Cigna medicare advantage facility · fee schedule · outpatient | $24.1k | $20.1k | $7.6k | 38% | — | $5.9k – $24.1k |
| 7 | Devoted medicare advantage facility · fee schedule · outpatient | $24.1k | $20.1k | $7.6k | 38% | — | $5.9k – $24.1k |
| 8 | Humana medicare advantage facility · fee schedule · outpatient | $24.1k | $20.1k | $7.6k | 38% | — | $5.9k – $24.1k |
| 9 | Medical Mutual medicare advantage facility · fee schedule · outpatient | $24.1k | $20.1k | $7.6k | 38% | — | $5.9k – $24.1k |
| 10 | Molina medicare advantage facility · fee schedule · outpatient | $24.1k | $20.1k | $7.6k | 38% | — | $5.9k – $24.1k |
| 11 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $24.1k | $20.1k | $7.6k | 38% | — | $5.9k – $24.1k |
| 12 | WellCare medicare advantage facility · fee schedule · outpatient | $24.1k | $20.1k | $7.6k | 38% | — | $5.9k – $24.1k |
| 13 | Medical Mutual supermed hmo facility · percent of total billed charges · outpatientfrom % of charges | $0 | $20.1k | $26.0k | 129% | — | $0 – $55.0k |
| 14 | Medical Mutual nas commercial facility · percent of total billed charges · outpatientfrom % of charges | $0 | $22.1k | $28.6k | 129% | — | $0 – $60.6k |
| 15 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $0 | $25.2k | $32.6k | 129% | — | $0 – $69k |
| 16 | Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $0 | $25.2k | $32.6k | 129% | — | $0 – $69k |
| 17 | Medical Mutual northern ohio commercial facility · percent of total billed charges · inpatientfrom % of charges | $0 | $27.1k | $35.1k | 129% | — | $0 – $74.3k |
| 18 | UnitedHealthcare nexus commercial facility · percent of total billed charges · outpatientfrom % of charges | $0 | $29.5k | $38.2k | 129% | — | $0 – $80.8k |
| 19 | Cigna ppo commercial facility · percent of total billed charges · inpatientfrom % of charges | $0 | $30.4k | $39.3k | 129% | — | $0 – $83.3k |
| 20 | Cigna ppo commercial facility · percent of total billed charges · outpatientfrom % of charges | $0 | $30.4k | $39.3k | 129% | — | $0 – $83.3k |
| 21 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $0 | $32.8k | $42.4k | 129% | — | $0 – $89.8k |
| 22 | Ambetter commercial facility · fee schedule · outpatient | $43.4k | $36.1k | $13.7k | 38% | — | $10.5k – $43.4k |
| 23 | Caresource marketplace facility · fee schedule · outpatient | $43.4k | $36.1k | $13.7k | 38% | — | $10.5k – $43.4k |
| 24 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $0 | $36.5k | $47.2k | 129% | — | $0 – $100.0k |
| 25 | Medical Mutual hmo facility · percent of total billed charges · inpatientfrom % of charges | $0 | $38.3k | $49.6k | 129% | — | $0 – $105k |
Last updated: Jul 14, 2026
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