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
POLYNET RETRIVAL 2.5MM R
Franklin, NC
See all hospitals reporting HCPCS C1773 →Price type
Angel Medical Center’s median price of $2.1k is 103% above the median hospital's median price ($1.0k), higher than 82% of the 1,433 hospitals reporting HCPCS C1773. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 28 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 | Blue Cross Blue Shield mcr percent of total billed charges · outpatientfrom % of charges | $924 | $1.6k | $1.9k | 119% | — | $8 – $9.8k |
| 2 | Blue Cross Blue Shield mgmcd percent of total billed charges · outpatientfrom % of charges | $972 | $1.7k | $2.0k | 119% | — | $9 – $10.3k |
| 3 | UnitedHealthcare bhmgmcd percent of total billed charges · outpatientfrom % of charges | $987 | $1.7k | $2.0k | 119% | — | $9 – $10.5k |
| 4 | WellCare mgmcd percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.7k | $2.0k | 119% | — | $9 – $10.6k |
| 5 | Aetna mcr percent of total billed charges · outpatientfrom % of charges | $1.2k | $2.1k | $2.4k | 119% | — | $11 – $12.7k |
| 6 | UnitedHealthcare allpayerappendix percent of total billed charges · outpatientfrom % of charges | $1.8k | $3.2k | $3.8k | 119% | — | $16 – $19.6k |
| 7 | Cigna hix percent of total billed charges · outpatientfrom % of charges | $1.9k | $3.2k | $3.8k | 119% | — | $17 – $20.0k |
| 8 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $1.9k | $3.2k | $3.8k | 119% | — | $17 – $20.0k |
| 9 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $1.9k | $3.2k | $3.8k | 119% | — | $17 – $20.0k |
| 10 | Aetna ahw percent of total billed charges · outpatientfrom % of charges | $1.9k | $3.3k | $3.9k | 119% | — | $17 – $20.2k |
| 11 | Aetna connect percent of total billed charges · outpatientfrom % of charges | $1.9k | $3.3k | $3.9k | 119% | — | $17 – $20.2k |
| 12 | Aetna simplepay percent of total billed charges · outpatientfrom % of charges | $1.9k | $3.3k | $3.9k | 119% | — | $17 – $20.2k |
| 13 | Aetna aetnapreferred percent of total billed charges · outpatientfrom % of charges | $2.1k | $3.5k | $4.2k | 119% | — | $18 – $21.8k |
| 14 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $2.1k | $3.6k | $4.3k | 119% | — | $19 – $22.2k |
| 15 | Amerihealth Caritas commercial-exchange percent of total billed charges · outpatientfrom % of charges | $2.1k | $3.6k | $4.3k | 119% | — | $19 – $22.5k |
| 16 | Blue Cross Blue Shield blueselect percent of total billed charges · outpatientfrom % of charges | $2.1k | $3.7k | $4.3k | 119% | — | $19 – $22.5k |
| 17 | Blue Cross Blue Shield bluevalue percent of total billed charges · outpatientfrom % of charges | $2.1k | $3.7k | $4.3k | 119% | — | $19 – $22.5k |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $2.1k | $3.7k | $4.3k | 119% | — | $19 – $22.5k |
| 19 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $2.1k | $3.7k | $4.3k | 119% | — | $19 – $22.5k |
| 20 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $2.3k | $4.0k | $4.7k | 119% | — | $21 – $24.6k |
| 21 | Caresource hix percent of total billed charges · outpatientfrom % of charges | $2.4k | $4.1k | $4.9k | 119% | — | $21 – $25.3k |
| 22 | Medcost signaturenetwork percent of total billed charges · outpatientfrom % of charges | $2.4k | $4.1k | $4.9k | 119% | — | $21 – $25.3k |
| 23 | UnitedHealthcare globalbenefitplanappendix percent of total billed charges · outpatientfrom % of charges | $2.4k | $4.2k | $5.0k | 119% | — | $22 – $25.9k |
| 24 | Medcost ultrarate percent of total billed charges · outpatientfrom % of charges | $2.7k | $4.7k | $5.6k | 119% | — | $24 – $29.1k |
| 25 | Medcost standard percent of total billed charges · outpatientfrom % of charges | $2.8k | $4.8k | $5.7k | 119% | — | $25 – $29.8k |
Last updated: Sep 1, 2026
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