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
1197641 - DILATOR ENDO CRE 2.8 MM PEBAX ESPH BLN LOW PRFL FX WIRE L180CM L8 CM OD10-11-12 MM ODSEC6 FR
Summit, WI
See all hospitals reporting HCPCS C1726 →Price type
Aurora Medical Center Summit’s median price of $522 is 22% below the median hospital's median price ($666), higher than 39% of the 1,755 hospitals reporting HCPCS C1726. 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 | $429 | $433 | $87 | 20% | — | $330 – $610 |
| 2 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $477 | $482 | $97 | 20% | — | $367 – $679 |
| 3 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $477 | $482 | $97 | 20% | — | $367 – $679 |
| 4 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $477 | $482 | $97 | 20% | — | $367 – $679 |
| 5 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $477 | $482 | $97 | 20% | — | $367 – $679 |
| 6 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $482 | $486 | $98 | 20% | — | $371 – $686 |
| 7 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $482 | $486 | $98 | 20% | — | $371 – $686 |
| 8 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $482 | $486 | $98 | 20% | — | $371 – $686 |
| 9 | Anthem blue preferred percent of total billed charges · outpatientfrom % of charges | $522 | $527 | $106 | 20% | 6–60 | $401 – $743 |
| 10 | Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges | $602 | $608 | $123 | 20% | — | $463 – $857 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $602 | $608 | $123 | 20% | — | $463 – $857 |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $602 | $608 | $123 | 20% | — | $463 – $857 |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $602 | $608 | $123 | 20% | — | $463 – $857 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $663 | $670 | $135 | 20% | — | $510 – $944 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $663 | $670 | $135 | 20% | — | $510 – $944 |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $676 | $683 | $138 | 20% | — | $520 – $962 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $676 | $683 | $138 | 20% | 6–60 | $520 – $962 |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $679 | $686 | $138 | 20% | — | $523 – $967 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $679 | $686 | $138 | 20% | — | $523 – $967 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $682 | $689 | $139 | 20% | — | $525 – $971 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $682 | $689 | $139 | 20% | — | $525 – $971 |
Last updated: Nov 21, 2025
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