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
GRAFT VASCULAR HEMASHIELD PLATINUM POLYESTER 2 VELOUR COLLAGEN STRAIGHT TUBE L30 CM OD28 MM THORACIC WOVEN SMOOTH NEEDLE PASSAGE SUTURE RETENTION CONTROL RESORPTION STERILE LATEX FREE
Amarillo, TX
See all hospitals reporting HCPCS C1768 →Price type
BSA Hospital’s median price of $2.5k is 5% above the median hospital's median price ($2.4k), higher than 51% of the 1,443 hospitals reporting HCPCS C1768. 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 | $431 | $1.5k | $2.2k | 144% | — | $12 – $8.3k |
| 2 | Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges | $431 | $1.5k | $2.2k | 144% | — | $12 – $8.3k |
| 3 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $1.8k | $6.4k | $9.2k | 144% | — | $52 – $34.7k |
| 4 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $1.8k | $6.4k | $9.2k | 144% | — | $52 – $34.7k |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $1.8k | $6.4k | $9.2k | 144% | — | $52 – $34.7k |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $1.8k | $6.4k | $9.2k | 144% | — | $52 – $34.7k |
| 7 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $1.8k | $6.4k | $9.2k | 144% | — | $52 – $34.7k |
| 8 | UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges | $1.8k | $6.4k | $9.2k | 144% | — | $52 – $34.7k |
| 9 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $1.8k | $6.4k | $9.2k | 144% | — | $52 – $34.7k |
| 10 | UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges | $2.0k | $7.0k | $10.1k | 144% | — | $57 – $38.1k |
| 11 | Cigna cigna pantex [126003] facility · percent of total billed charges · bothfrom % of charges | $2.2k | $7.8k | $11.1k | 143% | — | $170 – $41.8k |
| 12 | Blue Cross Blue Shield blue cross healthselect of texas [115530] facility · percent of total billed charges · bothfrom % of charges | $2.2k | $7.8k | $11.3k | 144% | — | $64 – $42.7k |
| 13 | Blue Cross Blue Shield blue cross advantage hmo of texas [115525] facility · percent of total billed charges · bothfrom % of charges | $2.4k | $8.3k | $12.0k | 144% | — | $68 – $45.4k |
| 14 | Blue Cross Blue Shield blue cross preferred ppo of texas [115526] facility · percent of total billed charges · bothfrom % of charges | $2.6k | $9.3k | $13.4k | 144% | — | $76 – $50.7k |
| 15 | Blue Cross Blue Shield blue cross traditional of texas [115503] facility · percent of total billed charges · bothfrom % of charges | $2.6k | $9.3k | $13.4k | 144% | — | $76 – $50.7k |
| 16 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $2.8k | $10.0k | $14.4k | 144% | — | $82 – $54.5k |
| 17 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $2.8k | $10.0k | $14.4k | 144% | — | $82 – $54.5k |
| 18 | Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges | $3.0k | $10.6k | $15.3k | 144% | — | $87 – $57.8k |
| 19 | Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges | $3.2k | $11.4k | $16.5k | 144% | — | $93 – $62.3k |
| 20 | Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges | $3.2k | $11.4k | $16.5k | 144% | — | $93 – $62.3k |
| 21 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $3.2k | $11.4k | $16.5k | 144% | — | $93 – $62.3k |
| 22 | Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges | $3.3k | $11.8k | $17.1k | 144% | 113–1,130 | $97 – $64.6k |
| 23 | Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges | $3.3k | $11.8k | $17.1k | 144% | — | $97 – $64.6k |
| 24 | UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges | $3.4k | $11.9k | $17.1k | 144% | — | $97 – $64.7k |
| 25 | Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges | $3.5k | $12.2k | $17.7k | 144% | — | $100 – $66.7k |
Last updated: Feb 12, 2026
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