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
1136147 - KIT INTRO OD6 FR L10 CM .021 IN L35 MM FLEX STRGT SHTH DIL ANT WALL
Fond Du Lac, WI
See all hospitals reporting HCPCS C1894 →Price type
Aurora Medical Center Fond du Lac’s median price of $63 is 68% below the median hospital's median price ($196), higher than 8% of the 1,666 hospitals reporting HCPCS C1894. 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 | $51.13 | $90.90 | $11.60 – $255.57 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $56.87 | $101.11 | $12.90 – $284.28 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $56.87 | $101.11 | $12.90 – $284.28 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $56.87 | $101.11 | $12.90 – $284.28 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $56.87 | $101.11 | $12.90 – $284.28 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $57.45 | $102.14 | $13.03 – $287.15 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $57.45 | $102.14 | $13.03 – $287.15 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $57.45 | $102.14 | $13.03 – $287.15 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $62.24 | $110.65 | $14.12 – $311.08 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $71.81 | $127.67 | $16.29 – $358.94 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $71.81 | $127.67 | $16.29 – $358.94 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $71.81 | $127.67 | $16.29 – $358.94 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $71.81 | $127.67 | $16.29 – $358.94 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $79.09 | $140.61 | $17.94 – $395.32 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $79.09 | $140.61 | $17.94 – $395.32 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $80.62 | $143.33 | $18.29 – $402.97 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $80.62 | $143.33 | $18.29 – $402.97 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $81.00 | $144.01 | $18.38 – $404.89 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $81.00 | $144.01 | $18.38 – $404.89 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $81.38 | $144.69 | $18.46 – $406.80 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $81.38 | $144.69 | $18.46 – $406.80 |
Last updated: Nov 21, 2025
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