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
GRAFT VASC GELWEAVE ANTE 30/8
Arlington, TX
See all hospitals reporting HCPCS C1768 →Price type
AMH Cath Labs LLC’s median price of $2.6k is 10% above the median hospital's median price ($2.4k), higher than 53% of the 1,443 hospitals reporting HCPCS C1768. 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, 23 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $481 | $1.5k | $2.6k | 174% | — | $1 – $14.0k |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $481 | $1.5k | $2.6k | 174% | — | $1 – $14.0k |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $505 | $1.6k | $2.8k | 174% | — | $1 – $14.7k |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $519 | $1.6k | $2.8k | 174% | — | $1 – $15.1k |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $529 | $1.7k | $2.9k | 174% | — | $1 – $15.4k |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $1.7k | $5.3k | $9.2k | 174% | — | $3 – $48.8k |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $2.2k | $7.0k | $12.1k | 174% | — | $3 – $64.7k |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $2.7k | $8.5k | $14.8k | 174% | — | $4 – $78.8k |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $3.0k | $9.3k | $16.2k | 174% | — | $5 – $86.2k |
| 10 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $3.0k | $9.4k | $16.3k | 174% | — | $5 – $87.1k |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $3.0k | $9.4k | $16.4k | 174% | — | $5 – $87.6k |
| 12 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $3.0k | $9.4k | $16.4k | 174% | — | $5 – $87.6k |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $3.4k | $10.7k | $18.6k | 174% | — | $5 – $99.3k |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $3.6k | $11.3k | $19.7k | 174% | — | $6 – $105.0k |
| 15 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $3.8k | $11.8k | $20.5k | 174% | — | $6 – $109.5k |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $3.8k | $11.8k | $20.6k | 174% | — | $6 – $109.8k |
| 17 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $3.8k | $11.9k | $20.7k | 174% | — | $6 – $110.4k |
| 18 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $3.8k | $11.9k | $20.7k | 174% | — | $6 – $110.4k |
| 19 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $4.0k | $12.6k | $22.0k | 174% | — | $6 – $117.3k |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $4.7k | $14.8k | $25.7k | 174% | — | $7 – $137.0k |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $4.7k | $14.8k | $25.7k | 174% | — | $7 – $137.0k |
| 22 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $5.1k | $16.0k | $27.8k | 174% | — | $8 – $148.2k |
| 23 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $5.1k | $16.0k | $27.8k | 174% | — | $8 – $148.2k |
Last updated: Apr 21, 2026
See Pulmonary artery graft, 16 mm or smaller pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.