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 URETERAL POLARIS ULTRA 7F X 28CM DUAL DUROMETER W/O GW
Las Vegas, NV
See all hospitals reporting HCPCS C2617 →Price type
University Medical Center of Southern Nevada’s median price of $170 is 42% below the median hospital's median price ($294), higher than 22% 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: 8 payers, 26 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 medicare managed care fee schedule · outpatient | $119.43 | $212.92 | $36.86 – $4,851 |
| 2 | Cigna generic fee schedule · outpatient | $120.90 | $215.53 | $37.31 – $4,910 |
| 3 | Cigna healthpartners fee schedule · outpatient | $120.90 | $215.53 | $37.31 – $4,910 |
| 4 | Kaiser posppo fee schedule · outpatient | $120.90 | $215.53 | $37.31 – $4,910 |
| 5 | Molina medicare advantage fee schedule · outpatient | $146.25 | $260.72 | $45.13 – $5,940 |
| 6 | Bcbs Nv anthem federal fee schedule · outpatient | $162.38 | $289.49 | $50.11 – $6,595 |
| 7 | Bcbs Nv anthem hmo fee schedule · outpatient | $162.38 | $289.49 | $50.11 – $6,595 |
| 8 | Bcbs Nv anthem ppo fee schedule · outpatient | $162.38 | $289.49 | $50.11 – $6,595 |
| 9 | Bcbs Nv generic fee schedule · outpatient | $162.38 | $289.49 | $50.11 – $6,595 |
| 10 | Aetna generic fee schedule · outpatient | $165.84 | $295.66 | $51.18 – $6,736 |
| 11 | Aetna hmo fee schedule · outpatient | $165.84 | $295.66 | $51.18 – $6,736 |
| 12 | Aetna meritain fee schedule · outpatient | $165.84 | $295.66 | $51.18 – $6,736 |
| 13 | Aetna ppo fee schedule · outpatient | $165.84 | $295.66 | $51.18 – $6,736 |
| 14 | Aetna src student fee schedule · outpatient | $165.84 | $295.66 | $51.18 – $6,736 |
| 15 | Aetna qhp gatekeeper fee schedule · outpatient | $338.71 | $338.71 | $338.71 – $338.71 |
| 16 | UnitedHealthcare all plans fee schedule · outpatient | $195.00 | $347.63 | $60.18 – $7,920 |
| 17 | UnitedHealthcare generic fee schedule · outpatient | $195.00 | $347.63 | $60.18 – $7,920 |
| 18 | UnitedHealthcare golden rule fee schedule · outpatient | $195.00 | $347.63 | $60.18 – $7,920 |
| 19 | UnitedHealthcare oxford health fee schedule · outpatient | $195.00 | $347.63 | $60.18 – $7,920 |
| 20 | UnitedHealthcare umr fee schedule · outpatient | $195.00 | $347.63 | $60.18 – $7,920 |
| 21 | Aetna international passport to health fee schedule · outpatient | $219.37 | $391.08 | $67.70 – $8,910 |
| 22 | Ambetter centene all plans fee schedule · outpatient | $219.37 | $391.08 | $67.70 – $8,910 |
| 23 | Molina marketplace fee schedule · outpatient | $219.37 | $391.08 | $67.70 – $8,910 |
| 24 | First Health all plans fee schedule · outpatient | $238.87 | $425.84 | $73.72 – $9,702 |
| 25 | Bcbs Nv anthem medicaid fee schedule · outpatient | $302.25 | $538.82 | $93.27 – $12,276 |
Last updated: Jul 1, 2026
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