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
PROSTHESIS PENILE TITAN COLOPLAST LOCK-OUT BIOFLEX SILICONE HYDROPHILIC 0 D CYLINDER L22 CM SCROTAL PUMP SET INFLATABLE FLUID FILL SOFT MOLD TIP LATEX FREE
Amarillo, TX
See all hospitals reporting HCPCS C1813 →Price type
BSA Hospital’s median price of $19.4k is 51% above the median hospital's median price ($12.8k), higher than 73% of the 1,227 hospitals reporting HCPCS C1813. 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 | $4.2k | $3.6k | $1.5k | 41% | — | $230 – $4.7k |
| 2 | Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges | $4.2k | $3.6k | $1.5k | 41% | — | $230 – $4.7k |
| 3 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $17.4k | $14.5k | $6.5k | 45% | — | $0 – $19.4k |
| 4 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $17.4k | $14.5k | $6.5k | 45% | — | $0 – $19.4k |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $17.4k | $14.5k | $6.5k | 45% | — | $0 – $19.4k |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $17.4k | $14.5k | $6.5k | 45% | — | $0 – $19.4k |
| 7 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $17.4k | $14.5k | $6.5k | 45% | — | $0 – $19.4k |
| 8 | UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges | $17.4k | $14.5k | $6.5k | 45% | — | $0 – $19.4k |
| 9 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $17.4k | $14.5k | $6.5k | 45% | — | $0 – $19.4k |
| 10 | UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges | $19.1k | $15.9k | $7.1k | 45% | — | $0 – $21.3k |
| 11 | Blue Cross Blue Shield blue cross healthselect of texas [115530] facility · percent of total billed charges · bothfrom % of charges | $21.4k | $17.9k | $8.0k | 45% | — | $0 – $23.9k |
| 12 | Cigna cigna pantex [126003] facility · percent of total billed charges · bothfrom % of charges | $21.0k | $18.0k | $7.3k | 41% | — | $1.2k – $23.4k |
| 13 | Blue Cross Blue Shield blue cross advantage hmo of texas [115525] facility · percent of total billed charges · bothfrom % of charges | $22.8k | $19.0k | $8.5k | 45% | — | $0 – $25.3k |
| 14 | Blue Cross Blue Shield blue cross preferred ppo of texas [115526] facility · percent of total billed charges · bothfrom % of charges | $25.4k | $21.2k | $9.5k | 45% | — | $0 – $28.3k |
| 15 | Blue Cross Blue Shield blue cross traditional of texas [115503] facility · percent of total billed charges · bothfrom % of charges | $25.4k | $21.2k | $9.5k | 45% | — | $0 – $28.3k |
| 16 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $27.3k | $22.8k | $10.2k | 45% | — | $0 – $30.5k |
| 17 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $27.3k | $22.8k | $10.2k | 45% | — | $0 – $30.5k |
| 18 | Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges | $29.0k | $24.2k | $10.8k | 45% | — | $0 – $32.3k |
| 19 | Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges | $31.2k | $26.0k | $11.7k | 45% | — | $0 – $34.8k |
| 20 | Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges | $31.2k | $26.0k | $11.7k | 45% | — | $0 – $34.8k |
| 21 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $31.2k | $26.0k | $11.7k | 45% | — | $0 – $34.8k |
| 22 | Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges | $32.4k | $27.0k | $12.1k | 45% | — | $0 – $36.1k |
| 23 | Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges | $32.4k | $27.0k | $12.1k | 45% | — | $0 – $36.1k |
| 24 | UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges | $32.4k | $27.0k | $12.1k | 45% | — | $0 – $36.1k |
| 25 | Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges | $33.5k | $27.9k | $12.5k | 45% | — | $0 – $37.3k |
Last updated: Feb 12, 2026
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