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Procedure price report

Guiding sheath for heart rhythm catheter procedure

HCPCS C1766the billing code this page is about

Covers the cost of the non-peel-away tube used to guide catheters inside the heart during an electrical study or ablation; this charge is for the device only.

Hospitals typically charge $802 cash for this outpatient procedure — the median across 179 hospitals that filed a usable cash price; the average of the middle 60% is $923. Most fall between $189 and $2,083 (20th–80th percentile).

Hospitals
179
States
31
Filings dated
Jun 2024 – Aug 2026
Computed
September 25, 2026
Prices checked
through September 23, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 179 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$88$207$802$2,083$2,427

The most expensive tenth of hospitals charges at least 28× what the cheapest tenth charges ($88 vs $2,427).

How the prices are spread

$38 – $62: 13 hospitals$38$62 – $101: 8 hospitals$101 – $164: 10 hospitals$101$164 – $268: 20 hospitals$268 – $438: 22 hospitals$268$438 – $715: 13 hospitals$715 – $1,166: 12 hospitals$715$1,166 – $1,903: 32 hospitals$1,903 – $3,106: 35 hospitals$1,903$3,106 – $5,070: 6 hospitals$3,106median $802price bands are equal on a log scale
Hospitals per price band (171 of 179 — the bands cover the 5th to 95th percentile)
FromToHospitals
$38$6213
$62$1018
$101$16410
$164$26820
$268$43822
$438$71513
$715$1,16612
$1,166$1,90332
$1,903$3,10635
$3,106$5,0706

By state

The median cash price in each state, against the national median of $802.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: no hospital in the corpus filed a usable priceILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: 1 hospital filed a usable price — fewer than 10, so no figureMINew York: 2 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: no hospital in the corpus filed a usable priceNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: no hospital in the corpus filed a usable priceIAIndiana: median $802 across 16 hospitalsIN$802Ohio: median $209 across 22 hospitalsOH$209Pennsylvania: 2 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: 6 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: 1 hospital filed a usable price — fewer than 10, so no figureCAUtah: median $1,208 across 22 hospitalsUT$1,208Colorado: no hospital in the corpus filed a usable priceCONebraska: no hospital in the corpus filed a usable priceNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $374 across 16 hospitalsVA$374Maryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: no hospital in the corpus filed a usable priceKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 2 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $2,083 across 32 hospitalsTX$2,083Florida: median $38 across 12 hospitalsFL$38
Cash price by state, most expensive first. National median $802. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX32$2,083+160%$2,083 – $2,427
Utah UT22$1,208+51%$1,208 – $1,544
Indiana IN16$8020%$702 – $1,257
Virginia VA16$374−53%$311 – $1,257
Ohio OH22$209−74%$189 – $338
Florida FL12$38−95%$38 – $38
Kentucky KY9not enough hospitals filed a usable price
New Jersey NJ6not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
New York NY2not enough hospitals filed a usable price
Oklahoma OK2not enough hospitals filed a usable price
Pennsylvania PA2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
California CA1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Michigan MI1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $802.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care152$797$189 – $2,427
Children’s5fewer than 20 hospitals
Critical access22$1,058$285 – $1,208
Ownership
For-profit21$797$88 – $2,427
Government12fewer than 20 hospitals
Non-profit146$797$189 – $2,083
System affiliation
Part of a system168$802$189 – $2,083
Independent11fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$1,611
Median cash price$802
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

142 hospitals filed a usable inpatient cash price for this code. The median is $676 and the average of the middle 60% is $935; most fall between $147 and $2,083.

Cash price percentiles, inpatient, across 142 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$54$189$676$2,083$2,427

The most expensive tenth of hospitals charges at least 45× what the cheapest tenth charges ($54 vs $2,427).

Of the 163 hospitals that filed this code inpatient, 142 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

179 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 209 hospitals that filed this code at all gave us
Usable cash price — counted179
Cash price carrying a plausibility flag — shown on the compare tool, excluded here16
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded14
Hospitals that filed this code209

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as SHEATH RADIAL PRELUDE 4FR.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Guiding sheath for heart rhythm catheter procedure (CPT C1766) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-c1766-guiding-sheath-for-heart-rhythm-catheter-procedure