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
1115728 - CATHETER XB4 CRV OD6 FR X LG LUM RADOPQ L100 CM GUIDE COR
Kenosha, WI
See all hospitals reporting HCPCS C1887 →Price type
Aurora Medical Center Kenosha’s median price of $136 is 53% below the median hospital's median price ($290), higher than 22% of the 1,610 hospitals reporting HCPCS C1887. 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 | $89.74 | $303.91 | $28.88 – $2,168 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $99.83 | $338.06 | $32.12 – $2,412 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $99.83 | $338.06 | $32.12 – $2,412 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $99.83 | $338.06 | $32.12 – $2,412 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $99.83 | $338.06 | $32.12 – $2,412 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $100.84 | $341.48 | $32.45 – $2,436 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $100.84 | $341.48 | $32.45 – $2,436 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $100.84 | $341.48 | $32.45 – $2,436 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $109.24 | $369.93 | $35.15 – $2,639 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $126.05 | $426.84 | $40.56 – $3,045 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $126.05 | $426.84 | $40.56 – $3,045 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $126.05 | $426.84 | $40.56 – $3,045 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $126.05 | $426.84 | $40.56 – $3,045 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $138.82 | $470.10 | $44.67 – $3,354 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $138.82 | $470.10 | $44.67 – $3,354 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $141.51 | $479.21 | $45.54 – $3,419 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $141.51 | $479.21 | $45.54 – $3,419 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $142.18 | $481.48 | $45.75 – $3,435 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $142.18 | $481.48 | $45.75 – $3,435 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $142.85 | $483.76 | $45.97 – $3,451 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $142.85 | $483.76 | $45.97 – $3,451 |
Last updated: Nov 21, 2025
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