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
1195323 - MESH PROGRIP 15X10CM 70% CLGN 30% GLYC PLLC ACD PET SELF FX
Burlington, WI
See all hospitals reporting HCPCS C1781 →Price type
Aurora Medical Center Burlington’s median price of $814 is 39% below the median hospital's median price ($1.3k), higher than 29% of the 1,705 hospitals reporting HCPCS C1781. 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 | $633.75 | $1,455 | $173.69 – $5,826 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $774.59 | $1,779 | $212.28 – $7,121 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $774.59 | $1,779 | $212.28 – $7,121 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $774.59 | $1,779 | $212.28 – $7,121 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $774.59 | $1,779 | $212.28 – $7,121 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $782.42 | $1,797 | $214.43 – $7,193 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $782.42 | $1,797 | $214.43 – $7,193 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $782.42 | $1,797 | $214.43 – $7,193 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $847.61 | $1,947 | $232.30 – $7,792 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $978.02 | $2,246 | $268.04 – $8,991 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $978.02 | $2,246 | $268.04 – $8,991 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $978.02 | $2,246 | $268.04 – $8,991 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $978.02 | $2,246 | $268.04 – $8,991 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $1,077 | $2,474 | $295.20 – $9,902 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $1,077 | $2,474 | $295.20 – $9,902 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $1,098 | $2,522 | $300.91 – $10,094 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1,098 | $2,522 | $300.91 – $10,094 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $1,103 | $2,534 | $302.34 – $10,142 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1,103 | $2,534 | $302.34 – $10,142 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $1,108 | $2,546 | $303.77 – $10,190 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $1,108 | $2,546 | $303.77 – $10,190 |
Last updated: Nov 21, 2025
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