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
1165059 - DEVICE SPEC RTRVL OD2.4 MM HYBRID JAW FLXB DIST WIRE GRASP
Elkhorn, WI
See all hospitals reporting HCPCS C1889 →Price type
Aurora Lakeland Medical Center’s median price of $476 is 80% below the median hospital's median price ($2.3k), higher than 19% 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: 6 payers, 21 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 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $390.97 | $868.58 | $23.25 – $2,269 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $434.90 | $966.17 | $25.86 – $2,524 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $434.90 | $966.17 | $25.86 – $2,524 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $434.90 | $966.17 | $25.86 – $2,524 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $434.90 | $966.17 | $25.86 – $2,524 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $439.30 | $975.93 | $26.12 – $2,549 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $439.30 | $975.93 | $26.12 – $2,549 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $439.30 | $975.93 | $26.12 – $2,549 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $475.90 | $1,057 | $28.29 – $2,762 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $549.12 | $1,220 | $32.65 – $3,187 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $549.12 | $1,220 | $32.65 – $3,187 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $549.12 | $1,220 | $32.65 – $3,187 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $549.12 | $1,220 | $32.65 – $3,187 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $604.76 | $1,344 | $35.96 – $3,510 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $604.76 | $1,344 | $35.96 – $3,510 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $616.48 | $1,370 | $36.65 – $3,578 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $616.48 | $1,370 | $36.65 – $3,578 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $619.41 | $1,376 | $36.83 – $3,595 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $619.41 | $1,376 | $36.83 – $3,595 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $622.34 | $1,383 | $37.00 – $3,612 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $622.34 | $1,383 | $37.00 – $3,612 |
Last updated: Nov 21, 2025
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