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
BASKET SEGURA 4WR O 2.4X120X16 (M0063801070)
Normal, IL
See all hospitals reporting HCPCS C1773 →Price type
Carle BroMenn Medical Center’s median price of $154 is 85% below the median hospital's median price ($1.0k), higher than 5% of the 1,433 hospitals reporting HCPCS C1773. 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $70 | $70 | — | — | — | $70 – $70 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $72 | $72 | — | — | — | $72 – $72 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 5 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $109 | $109 | — | — | — | $109 – $109 |
| 6 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 7 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $106 | $128 | $65 | 51% | — | $44 – $247 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $106 | $128 | $65 | 51% | — | $44 – $247 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $106 | $128 | $65 | 51% | — | $44 – $247 |
| 10 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $106 | $128 | $65 | 51% | — | $44 – $247 |
| 11 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $325 | $392 | $201 | 51% | — | $134 – $758 |
| 12 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $326 | $393 | $201 | 51% | 100 | $134 – $760 |
| 13 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $327 | $394 | $202 | 51% | 12–120 | $134 – $762 |
| 14 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $329 | $396 | $203 | 51% | — | $135 – $766 |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $329 | $396 | $203 | 51% | — | $135 – $766 |
| 16 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $350 | $422 | $216 | 51% | — | $144 – $816 |
| 17 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $350 | $422 | $216 | 51% | — | $144 – $816 |
| 18 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $398 | $479 | $245 | 51% | — | $163 – $926 |
Last updated: Apr 15, 2026
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