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
MESH 3DMAX LARGE LEFT 4X6 1/CA 0115311
Normal, IL
See all hospitals reporting HCPCS C1781 →Price type
Carle BroMenn Medical Center’s median price of $492 is 63% below the median hospital's median price ($1.3k), higher than 13% of the 1,705 hospitals reporting HCPCS C1781. 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, 19 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 | $452.76 | $452.76 | $452.76 – $452.76 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $452.76 | $452.76 | $452.76 – $452.76 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $466.34 | $466.34 | $466.34 – $466.34 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $466.34 | $466.34 | $466.34 – $466.34 |
| 5 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $338.16 | $561.86 | $20.82 – $2,370 |
| 6 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $338.16 | $561.86 | $20.82 – $2,370 |
| 7 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $338.16 | $561.86 | $20.82 – $2,370 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $338.16 | $561.86 | $20.82 – $2,370 |
| 9 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $601.37 | $601.37 | $601.37 – $601.37 |
| 10 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $601.37 | $601.37 | $601.37 – $601.37 |
| 11 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $929.94 | $1,387 | $57.26 – $6,518 |
| 12 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $794.68 | $1,394 | $48.93 – $7,263 |
| 13 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1,014 | $1,692 | $62.46 – $7,193 |
| 14 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $1,040 | $1,728 | $64.02 – $7,288 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1,043 | $1,733 | $64.23 – $7,311 |
| 16 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $1,048 | $1,742 | $64.54 – $7,347 |
| 17 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $1,118 | $1,857 | $68.81 – $7,833 |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $1,118 | $1,857 | $68.81 – $7,833 |
| 19 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $1,268 | $2,107 | $78.08 – $8,888 |
Last updated: Apr 15, 2026
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