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
H74939473300300 VICTORY 18 300 CM 30G 1-PACK
Washington Court House, OH
See all hospitals reporting HCPCS C1769 →Price type
Adena Fayette Medical Center’s median price of $265 is 32% above the median hospital's median price ($200), higher than 63% of the 1,788 hospitals reporting HCPCS C1769. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 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 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $114.80 | $152.75 | $1.20 – $1,017 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $181.03 | $240.88 | $1.89 – $1,604 |
| 3 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $181.03 | $240.88 | $1.89 – $1,604 |
| 4 | Medical Mutual medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $181.03 | $240.88 | $1.89 – $1,604 |
| 5 | Molina medicare advantage/dual facility · percent of total billed charges · outpatientfrom % of charges | $181.03 | $240.88 | $1.89 – $1,604 |
| 6 | Caresource medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $184.65 | $245.70 | $1.93 – $1,636 |
| 7 | Anthem hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $193.84 | $257.92 | $2.03 – $1,718 |
| 8 | Anthem hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $212.82 | $283.18 | $2.23 – $1,886 |
| 9 | Anthem blue preferred/blue access facility · percent of total billed charges · inpatientfrom % of charges | $265.81 | $353.68 | $2.78 – $2,356 |
| 10 | Anthem blue preferred/blue access facility · percent of total billed charges · outpatientfrom % of charges | $268.46 | $357.21 | $2.81 – $2,379 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $276.40 | $368.37 | $2.88 – $2,461 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $276.40 | $368.37 | $2.88 – $2,461 |
| 13 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $286.56 | $381.29 | $3.00 – $2,540 |
| 14 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $289.21 | $384.82 | $3.03 – $2,563 |
| 15 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $304.22 | $404.80 | $3.18 – $2,696 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $304.22 | $404.80 | $3.18 – $2,696 |
| 17 | Medical Mutual commercial facility · percent of total billed charges · inpatientfrom % of charges | $333.23 | $443.39 | $3.49 – $2,953 |
| 18 | Medical Mutual commercial facility · percent of total billed charges · outpatientfrom % of charges | $333.23 | $443.39 | $3.49 – $2,953 |
| 19 | Medical Mutual hmo/ppo/pos/preferred facility · percent of total billed charges · inpatientfrom % of charges | $333.23 | $443.39 | $3.49 – $2,953 |
| 20 | Medical Mutual hmo/ppo/pos/preferred facility · percent of total billed charges · outpatientfrom % of charges | $333.23 | $443.39 | $3.49 – $2,953 |
| 21 | Medical Mutual traditional commercial facility · percent of total billed charges · inpatientfrom % of charges | $333.23 | $443.39 | $3.49 – $2,953 |
| 22 | Medical Mutual traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $333.23 | $443.39 | $3.49 – $2,953 |
| 23 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $346.17 | $460.61 | $3.62 – $3,068 |
| 24 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $346.17 | $460.61 | $3.62 – $3,068 |
| 25 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $349.70 | $465.31 | $3.66 – $3,099 |
Last updated: Aug 19, 2026
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