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
TISSUE SURGIMEND 1.0 0.6 X 25 CM
Elkader, IA
See all hospitals reporting HCPCS C1763 →Price type
Central Community Hospital’s median price of $3.1k is 20% above the median hospital's median price ($2.6k), higher than 60% of the 1,482 hospitals reporting HCPCS C1763. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 11 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 | Wellmark wellmark medicare advantage facility · percent of total billed charges · bothfrom % of charges | $2.1k | $3.3k | $3.7k | 111% | — | $28 – $19.1k |
| 2 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $2.2k | $3.3k | $3.7k | 111% | — | $28 – $19.3k |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $2.3k | $3.5k | $4.0k | 111% | — | $30 – $20.5k |
| 4 | Molina molina medicaid facility · percent of total billed charges · bothfrom % of charges | $2.6k | $4.1k | $4.5k | 111% | — | $34 – $23.5k |
| 5 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $3.1k | $4.7k | $5.3k | 111% | — | $40 – $27.4k |
| 6 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $3.1k | $4.7k | $5.3k | 111% | — | $40 – $27.4k |
| 7 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $3.1k | $4.7k | $5.3k | 111% | — | $40 – $27.4k |
| 8 | Ambetter ambetter marketplace facility · percent of total billed charges · bothfrom % of charges | $3.6k | $5.6k | $6.3k | 111% | — | $47 – $32.5k |
| 9 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $3.7k | $5.6k | $6.3k | 111% | — | $47 – $32.5k |
| 10 | Cigna midlands choice facility · percent of total billed charges · bothfrom % of charges | $4.1k | $6.3k | $7.0k | 111% | — | $53 – $36.4k |
| 11 | Medica midlands choice facility · percent of total billed charges · bothfrom % of charges | $4.1k | $6.3k | $7.0k | 111% | — | $53 – $36.4k |
Last updated: Mar 31, 2026
See Surgical matrix graft, 8x16 cm (Matristem) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.