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
BALLOON EXTRACTOR PRO RX 12-15 LATEX (M00547010)
Normal, IL
See all hospitals reporting HCPCS C1726 →Price type
Carle BroMenn Medical Center’s median price of $318 is 52% below the median hospital's median price ($662), higher than 18% of the 1,770 hospitals reporting HCPCS C1726. 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, 18 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 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $129 | $141 | $91 | 65% | — | $17 – $262 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $129 | $141 | $91 | 65% | — | $17 – $262 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $129 | $141 | $91 | 65% | — | $17 – $262 |
| 4 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $129 | $141 | $91 | 65% | — | $17 – $262 |
| 5 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $373 | $373 | — | — | — | $373 – $373 |
| 6 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $373 | $373 | — | — | — | $373 – $373 |
| 7 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $397 | $397 | — | — | — | $397 – $397 |
| 8 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $397 | $397 | — | — | — | $397 – $397 |
| 9 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $409 | $409 | — | — | — | $409 – $409 |
| 10 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $409 | $409 | — | — | — | $409 – $409 |
| 11 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $396 | $431 | $281 | 65% | — | $53 – $805 |
| 12 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $397 | $432 | $281 | 65% | 8–80 | $53 – $807 |
| 13 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $398 | $433 | $282 | 65% | — | $53 – $809 |
| 14 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $400 | $436 | $283 | 65% | — | $54 – $813 |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $400 | $436 | $283 | 65% | — | $54 – $813 |
| 16 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $426 | $464 | $302 | 65% | — | $57 – $867 |
| 17 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $426 | $464 | $302 | 65% | — | $57 – $867 |
| 18 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $484 | $527 | $343 | 65% | — | $65 – $984 |
Last updated: Apr 15, 2026
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