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
SHELL ACETABULAR TRIDENT TRITANIUM E HEMISPHERE OD54 MM HIP MULTIHOLE REVISION STERILE
Carthage, TX
See all hospitals reporting HCPCS C1776 →Price type
Carthage Hospital, LLC’s median price of $1.4k is 52% below the median hospital's median price ($3.0k), higher than 15% of the 1,609 hospitals reporting HCPCS C1776. 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 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $780.36 | $1,187 | $12.70 – $10,011 |
| 2 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $780.36 | $1,187 | $12.70 – $10,011 |
| 3 | Molina molina medicaid new mexico [225500] facility · percent of total billed charges · bothfrom % of charges | $780.36 | $1,187 | $12.70 – $10,011 |
| 4 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $780.36 | $1,187 | $12.70 – $10,011 |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $811.19 | $1,234 | $13.20 – $10,406 |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $811.19 | $1,234 | $13.20 – $10,406 |
| 7 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $811.19 | $1,234 | $13.20 – $10,406 |
| 8 | Blue Cross Blue Shield blue cross advantage hmo of texas [115525] facility · percent of total billed charges · bothfrom % of charges | $1,097 | $1,668 | $17.85 – $14,069 |
| 9 | UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges | $1,606 | $2,442 | $26.14 – $20,604 |
| 10 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $1,606 | $2,442 | $26.14 – $20,604 |
| 11 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $1,811 | $2,753 | $29.46 – $23,227 |
| 12 | Blue Cross Blue Shield blue cross hmo of texas [115504] facility · percent of total billed charges · bothfrom % of charges | $2,382 | $2,770 | $1,582 – $12,196 |
| 13 | Aetna aetna [101529] facility · percent of total billed charges · bothfrom % of charges | $1,983 | $3,015 | $32.26 – $25,433 |
| 14 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $1,983 | $3,015 | $32.26 – $25,433 |
| 15 | Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges | $2,044 | $3,109 | $33.26 – $26,224 |
| 16 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $2,044 | $3,109 | $33.26 – $26,224 |
| 17 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $2,044 | $3,109 | $33.26 – $26,224 |
| 18 | Blue Cross Blue Shield blue cross preferred ppo of texas [115526] facility · percent of total billed charges · bothfrom % of charges | $3,252 | $3,781 | $2,160 – $16,650 |
| 19 | Blue Cross Blue Shield blue cross traditional of texas [115503] facility · percent of total billed charges · bothfrom % of charges | $3,252 | $3,781 | $2,160 – $16,650 |
Last updated: Feb 12, 2026
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