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
SPACER SPINAL ZERO-P PEEK-OPTIMA ELGILOY TITANIUM STANDARD LORDOTIC H8 MM RADIOPAQUE PREASSEMBLE STERILE ANTERIOR CERVICAL INTERBODY FUSION
Amarillo, TX
See all hospitals reporting HCPCS C1889 →Price type
BSA Hospital’s median price of $2.9k is 21% above the median hospital's median price ($2.3k), higher than 58% of the 1,507 hospitals reporting HCPCS C1889. 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 | $422.65 | $680.40 | $11.27 – $4,065 |
| 2 | Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges | $422.65 | $680.40 | $11.27 – $4,065 |
| 3 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $1,761 | $2,835 | $46.94 – $16,937 |
| 4 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $1,761 | $2,835 | $46.94 – $16,937 |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $1,761 | $2,835 | $46.94 – $16,937 |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $1,761 | $2,835 | $46.94 – $16,937 |
| 7 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $1,761 | $2,835 | $46.94 – $16,937 |
| 8 | UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges | $1,761 | $2,835 | $46.94 – $16,937 |
| 9 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $1,761 | $2,835 | $46.94 – $16,937 |
| 10 | UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges | $1,933 | $3,111 | $51.52 – $18,587 |
| 11 | Cigna cigna pantex [126003] facility · percent of total billed charges · bothfrom % of charges | $2,122 | $3,467 | $210.95 – $20,411 |
| 12 | Blue Cross Blue Shield blue cross healthselect of texas [115530] facility · percent of total billed charges · bothfrom % of charges | $2,167 | $3,489 | $57.78 – $20,845 |
| 13 | Blue Cross Blue Shield blue cross advantage hmo of texas [115525] facility · percent of total billed charges · bothfrom % of charges | $2,303 | $3,707 | $61.39 – $22,148 |
| 14 | Blue Cross Blue Shield blue cross preferred ppo of texas [115526] facility · percent of total billed charges · bothfrom % of charges | $2,574 | $4,143 | $68.61 – $24,754 |
| 15 | Blue Cross Blue Shield blue cross traditional of texas [115503] facility · percent of total billed charges · bothfrom % of charges | $2,574 | $4,143 | $68.61 – $24,754 |
| 16 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $2,768 | $4,456 | $73.79 – $26,621 |
| 17 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $2,768 | $4,456 | $73.79 – $26,621 |
| 18 | Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges | $2,935 | $4,725 | $78.24 – $28,228 |
| 19 | Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges | $3,161 | $5,088 | $84.26 – $30,399 |
| 20 | Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges | $3,161 | $5,088 | $84.26 – $30,399 |
| 21 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $3,161 | $5,088 | $84.26 – $30,399 |
| 22 | Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges | $3,278 | $5,277 | $87.39 – $31,529 |
| 23 | Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges | $3,278 | $5,277 | $87.39 – $31,529 |
| 24 | UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges | $3,283 | $5,285 | $87.51 – $31,572 |
| 25 | Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges | $3,387 | $5,452 | $90.28 – $32,571 |
Last updated: Feb 12, 2026
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