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
1085103 - SURFACE ARTC H12 MM PERSONA 3-5 C-D KN RT POSTERIOR
Two Rivers, WI
See all hospitals reporting HCPCS C1776 →Price type
Aurora Medical Center Manitowoc’s median price of $1.8k is 39% below the median hospital's median price ($3.0k), higher than 25% 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 | $1,400 | $1,793 | $72.41 – $7,687 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $1,711 | $2,192 | $88.51 – $9,395 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $1,711 | $2,192 | $88.51 – $9,395 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $1,711 | $2,192 | $88.51 – $9,395 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $1,711 | $2,192 | $88.51 – $9,395 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $1,728 | $2,214 | $89.40 – $9,490 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $1,728 | $2,214 | $89.40 – $9,490 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $1,728 | $2,214 | $89.40 – $9,490 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $1,872 | $2,398 | $96.85 – $10,281 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $2,160 | $2,767 | $111.75 – $11,863 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $2,160 | $2,767 | $111.75 – $11,863 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $2,160 | $2,767 | $111.75 – $11,863 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $2,160 | $2,767 | $111.75 – $11,863 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $2,379 | $3,048 | $123.07 – $13,065 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $2,379 | $3,048 | $123.07 – $13,065 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $2,425 | $3,107 | $125.46 – $13,318 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $2,425 | $3,107 | $125.46 – $13,318 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $2,436 | $3,121 | $126.05 – $13,381 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2,436 | $3,121 | $126.05 – $13,381 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $2,448 | $3,136 | $126.65 – $13,444 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $2,448 | $3,136 | $126.65 – $13,444 |
Last updated: Nov 21, 2025
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