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
Shell C1604, Pass-Through Device, Graft, Transmural Transvenous Arterial Bypass (Implantable), With All Delivery System Components
Buda, TX
See all hospitals reporting HCPCS C1604 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $55.2k is 34% above the median hospital's median price ($41.2k), higher than 62% of the 290 hospitals reporting HCPCS C1604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 28 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 3 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · inpatientfrom % of charges | $28.0k | $28.0k | — | — | — | $28.0k – $28.0k |
| 4 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · inpatientfrom % of charges | $38.3k | $38.3k | — | — | — | $38.3k – $38.3k |
| 5 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $38.7k | $38.7k | — | — | — | $38.7k – $38.7k |
| 6 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · inpatientfrom % of charges | $45.0k | $45.0k | — | — | — | $45.0k – $45.0k |
| 7 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $45.5k | $45.5k | — | — | — | $45.5k – $45.5k |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $46.7k | $46.7k | — | — | — | $46.7k – $46.7k |
| 9 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $49.3k | $49.3k | — | — | — | $49.3k – $49.3k |
| 10 | Cigna local plus facility · percent of total billed charges · inpatientfrom % of charges | $49.3k | $49.3k | — | — | — | $49.3k – $49.3k |
| 11 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $49.3k | $49.3k | — | — | — | $49.3k – $49.3k |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $50.1k | $50.1k | — | — | — | $50.1k – $50.1k |
| 13 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $55.2k | $55.2k | — | — | — | $55.2k – $55.2k |
| 14 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $55.2k | $55.2k | — | — | — | $55.2k – $55.2k |
| 15 | Cigna hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $57.8k | $57.8k | — | — | — | $57.8k – $57.8k |
| 16 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $57.8k | $57.8k | — | — | — | $57.8k – $57.8k |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $58.7k | $58.7k | — | — | — | $58.7k – $58.7k |
| 18 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · inpatientfrom % of charges | $59.5k | $59.5k | — | — | — | $59.5k – $59.5k |
| 19 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $59.5k | $59.5k | — | — | — | $59.5k – $59.5k |
| 20 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · inpatientfrom % of charges | $59.5k | $59.5k | — | — | — | $59.5k – $59.5k |
| 21 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $59.5k | $59.5k | — | — | — | $59.5k – $59.5k |
| 22 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · inpatientfrom % of charges | $59.5k | $59.5k | — | — | — | $59.5k – $59.5k |
| 23 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $59.5k | $59.5k | — | — | — | $59.5k – $59.5k |
| 24 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $59.5k | $59.5k | — | — | — | $59.5k – $59.5k |
| 25 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $59.5k | $59.5k | — | — | — | $59.5k – $59.5k |
Last updated: Jun 13, 2026
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