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
1173804 - SPHERE GLND STD RVRS OD39 MM PERFORM SHLDR
Mount Pleasant, WI
See all hospitals reporting HCPCS C1776 →Price type
Aurora Medical Center Mount Pleasant’s median price of $3.8k is 25% above the median hospital's median price ($3.0k), higher than 61% 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 | $3,013 | $3,353 | $101.09 – $13,593 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $3,683 | $4,099 | $123.55 – $16,614 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $3,683 | $4,099 | $123.55 – $16,614 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $3,683 | $4,099 | $123.55 – $16,614 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $3,683 | $4,099 | $123.55 – $16,614 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $3,720 | $4,140 | $124.80 – $16,782 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $3,720 | $4,140 | $124.80 – $16,782 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $3,720 | $4,140 | $124.80 – $16,782 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $4,030 | $4,485 | $135.20 – $18,180 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $4,650 | $5,175 | $156.00 – $20,977 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $4,650 | $5,175 | $156.00 – $20,977 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $4,650 | $5,175 | $156.00 – $20,977 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $4,650 | $5,175 | $156.00 – $20,977 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $5,121 | $5,699 | $171.81 – $23,103 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $5,121 | $5,699 | $171.81 – $23,103 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $5,220 | $5,810 | $175.14 – $23,551 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $5,220 | $5,810 | $175.14 – $23,551 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $5,245 | $5,837 | $175.97 – $23,662 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $5,245 | $5,837 | $175.97 – $23,662 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $5,270 | $5,865 | $176.80 – $23,774 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $5,270 | $5,865 | $176.80 – $23,774 |
Last updated: Nov 21, 2025
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