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
Dil Pebax 180Cm Od15-18
Parkston, SD
See all hospitals reporting HCPCS C1726 →Price type
Avera St. Benedicts’s median price of $539 is 19% below the median hospital's median price ($666), higher than 40% of the 1,748 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: 4 payers, 11 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 | Medica ind percent of total billed charges · inpatientfrom % of charges | $508 | $366 | $201 | 55% | — | $82 – $508 |
| 2 | Medica ind percent of total billed charges · outpatientfrom % of charges | $520 | $375 | $205 | 55% | — | $84 – $520 |
| 3 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $539 | $389 | $213 | 55% | — | $87 – $539 |
| 4 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $539 | $389 | $213 | 55% | 3–30 | $87 – $539 |
| 5 | Medica com percent of total billed charges · inpatientfrom % of charges | $603 | $435 | $238 | 55% | — | $98 – $603 |
| 6 | Medica com percent of total billed charges · outpatientfrom % of charges | $617 | $445 | $244 | 55% | — | $100 – $617 |
| 7 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $667 | $480 | $263 | 55% | — | $108 – $667 |
| 8 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $667 | $480 | $263 | 55% | — | $108 – $667 |
| 9 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $742 | $535 | $293 | 55% | — | $120 – $742 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $742 | $535 | $293 | 55% | — | $120 – $742 |
| 11 | Wellmark hmo outpatient | $539 | $539 | — | — | 3–30 | $539 – $539 |
Last updated: Apr 1, 2026
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