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
1084746 - SURFACE ARTC 12MM PERSONA 6-9 EF KN LT VIVACIT-E
Burlington, WI
See all hospitals reporting HCPCS C1776 →Price type
Aurora Medical Center Burlington’s median price of $2.9k is 3% below the median hospital's median price ($3.0k), higher than 48% of the 1,609 hospitals reporting HCPCS C1776. 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 | $2,262 | $2,249 | $150.75 – $8,801 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $2,764 | $2,749 | $184.25 – $10,756 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $2,764 | $2,749 | $184.25 – $10,756 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $2,764 | $2,749 | $184.25 – $10,756 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $2,764 | $2,749 | $184.25 – $10,756 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $2,792 | $2,777 | $186.11 – $10,865 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $2,792 | $2,777 | $186.11 – $10,865 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $2,792 | $2,777 | $186.11 – $10,865 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $3,025 | $3,008 | $201.62 – $11,770 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $3,490 | $3,471 | $232.64 – $13,581 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $3,490 | $3,471 | $232.64 – $13,581 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $3,490 | $3,471 | $232.64 – $13,581 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $3,490 | $3,471 | $232.64 – $13,581 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $3,844 | $3,823 | $256.22 – $14,958 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $3,844 | $3,823 | $256.22 – $14,958 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $3,918 | $3,897 | $261.18 – $15,247 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $3,918 | $3,897 | $261.18 – $15,247 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $3,937 | $3,916 | $262.42 – $15,320 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $3,937 | $3,916 | $262.42 – $15,320 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $3,956 | $3,934 | $263.66 – $15,392 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $3,956 | $3,934 | $263.66 – $15,392 |
Last updated: Nov 21, 2025
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