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
NEUROSTIMULATOR IMPLANTABLE PERCEPT H68 MM X L51 MM 61 G 2 CHANNEL DEEP BRAIN STIMULATOR
Amarillo, TX
See all hospitals reporting HCPCS C1767 →Price type
BSA Hospital’s median price of $36.9k is 42% above the median hospital's median price ($26.1k), higher than 70% of the 1,447 hospitals reporting HCPCS C1767. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $6.6k | $7.4k | $4.2k | 57% | — | $897 – $15.1k |
| 2 | Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges | $6.6k | $7.4k | $4.2k | 57% | — | $897 – $15.1k |
| 3 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $27.5k | $30.9k | $17.7k | 57% | — | $3.7k – $62.8k |
| 4 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $27.5k | $30.9k | $17.7k | 57% | — | $3.7k – $62.8k |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $27.5k | $30.9k | $17.7k | 57% | — | $3.7k – $62.8k |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $27.5k | $30.9k | $17.7k | 57% | — | $3.7k – $62.8k |
| 7 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $27.5k | $30.9k | $17.7k | 57% | — | $3.7k – $62.8k |
| 8 | UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges | $27.5k | $30.9k | $17.7k | 57% | — | $3.7k – $62.8k |
| 9 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $27.5k | $30.9k | $17.7k | 57% | — | $3.7k – $62.8k |
| 10 | UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges | $30.1k | $33.9k | $19.4k | 57% | — | $4.1k – $69.0k |
| 11 | Cigna cigna pantex [126003] facility · percent of total billed charges · bothfrom % of charges | $33.1k | $37.2k | $21.3k | 57% | — | $4.5k – $75.7k |
| 12 | Blue Cross Blue Shield blue cross healthselect of texas [115530] facility · percent of total billed charges · bothfrom % of charges | $33.8k | $38.0k | $21.7k | 57% | — | $4.6k – $77.3k |
| 13 | Blue Cross Blue Shield blue cross advantage hmo of texas [115525] facility · percent of total billed charges · bothfrom % of charges | $35.9k | $40.4k | $23.1k | 57% | — | $4.9k – $82.2k |
| 14 | Blue Cross Blue Shield blue cross preferred ppo of texas [115526] facility · percent of total billed charges · bothfrom % of charges | $40.1k | $45.1k | $25.8k | 57% | — | $5.5k – $91.8k |
| 15 | Blue Cross Blue Shield blue cross traditional of texas [115503] facility · percent of total billed charges · bothfrom % of charges | $40.1k | $45.1k | $25.8k | 57% | — | $5.5k – $91.8k |
| 16 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $43.2k | $48.5k | $27.7k | 57% | — | $5.9k – $98.8k |
| 17 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $43.2k | $48.5k | $27.7k | 57% | — | $5.9k – $98.8k |
| 18 | Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges | $45.8k | $51.4k | $29.4k | 57% | — | $6.2k – $104.7k |
| 19 | Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges | $49.3k | $55.4k | $31.7k | 57% | — | $6.7k – $112.8k |
| 20 | Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges | $49.3k | $55.4k | $31.7k | 57% | — | $6.7k – $112.8k |
| 21 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $49.3k | $55.4k | $31.7k | 57% | — | $6.7k – $112.8k |
| 22 | Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges | $51.1k | $57.4k | $32.9k | 57% | — | $7.0k – $117.0k |
| 23 | Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges | $51.1k | $57.4k | $32.9k | 57% | — | $7.0k – $117.0k |
| 24 | UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges | $51.2k | $57.5k | $32.9k | 57% | — | $7.0k – $117.1k |
| 25 | Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges | $52.8k | $59.3k | $33.9k | 57% | — | $7.2k – $120.9k |
Last updated: Feb 12, 2026
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