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
GRFT STENT AORT 28X28X95X20 A28-28/C95-O20
Council Bluffs, IA
See all hospitals reporting HCPCS C1889 →Price type
Alegent Health Bergan Mercy Health System’s median price of $576 is 75% below the median hospital's median price ($2.3k), higher than 21% of the 1,507 hospitals reporting HCPCS C1889. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 7 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 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $604.35 | $1,364 | $9.83 – $7,155 |
| 2 | Phcs commercial|all plans fee schedule · inpatient | $932.80 | $2,106 | $15.17 – $11,044 |
| 3 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $972.22 | $2,195 | $15.81 – $11,511 |
| 4 | Medica commercial|open access fee schedule · outpatient | $985.35 | $2,224 | $16.02 – $11,666 |
| 5 | Phcs commercial|all plans fee schedule · outpatient | $985.35 | $2,224 | $16.02 – $11,666 |
| 6 | MultiPlan commercial|all plans fee schedule · inpatient | $1,117 | $2,521 | $18.16 – $13,222 |
| 7 | MultiPlan commercial|all plans fee schedule · outpatient | $1,117 | $2,521 | $18.16 – $13,222 |
Last updated: Feb 28, 2026
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