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
MOMENTUM X4 CRT-D IS-1
Falls, MT
See all hospitals reporting HCPCS C1882 →Price type
Benefis Hospitals Inc’s median price of $27.3k is 7% below the median hospital's median price ($29.5k), higher than 44% of the 1,334 hospitals reporting HCPCS C1882. 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, 15 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 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $19.7k | $19.6k | $2.4k | 12% | — | $15.7k – $24.3k |
| 2 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges | $20.9k | $20.7k | $2.6k | 12% | — | $16.6k – $25.7k |
| 3 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges | $22.8k | $22.6k | $2.8k | 12% | — | $18.1k – $28.1k |
| 4 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $24.3k | $24.1k | $3.0k | 12% | — | $19.3k – $29.9k |
| 5 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $24.7k | $24.5k | $3.0k | 12% | — | $19.7k – $30.5k |
| 6 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $25.8k | $25.6k | $3.2k | 12% | — | $20.5k – $31.8k |
| 7 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges | $25.8k | $25.6k | $3.2k | 12% | — | $20.5k – $31.8k |
| 8 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $26.1k | $25.9k | $3.2k | 12% | — | $20.8k – $32.2k |
| 9 | Cigna bhs hb allegiance percent of total billed charges · bothfrom % of charges | $27.3k | $27.1k | $3.3k | 12% | — | $21.8k – $33.7k |
| 10 | Healthpartners bhs hb allegiance percent of total billed charges · bothfrom % of charges | $27.3k | $27.1k | $3.3k | 12% | — | $21.8k – $33.7k |
| 11 | Kaiser bhs hb allegiance percent of total billed charges · bothfrom % of charges | $27.3k | $27.1k | $3.3k | 12% | — | $21.8k – $33.7k |
| 12 | Medical Mutual bhs hb allegiance percent of total billed charges · bothfrom % of charges | $27.3k | $27.1k | $3.3k | 12% | — | $21.8k – $33.7k |
| 13 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $27.9k | $27.7k | $3.4k | 12% | — | $22.2k – $34.4k |
| 14 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $27.9k | $27.7k | $3.4k | 12% | — | $22.2k – $34.4k |
| 15 | UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges | $28.8k | $28.6k | $3.5k | 12% | — | $23.0k – $35.6k |
Last updated: Mar 26, 2026
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