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
GRFT STENT NELLIX SYS 10MMX110 N10-110
Houston, TX
See all hospitals reporting HCPCS C1887 →Price type
Chi St. Luke's Health Baylor College Of Medicine Medical Center’s median price of $1.9k is 565% above the median hospital's median price ($290), higher than 94% of the 1,610 hospitals reporting HCPCS C1887. 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, 52 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 | Cigna commercial|hmo fee schedule · outpatient | $100.00 | $130.37 | $36.75 – $2,475 |
| 2 | Cigna commercial|ppo fee schedule · outpatient | $100.00 | $130.37 | $36.75 – $2,475 |
| 3 | Cigna commercial|surefit fee schedule · outpatient | $100.00 | $130.37 | $36.75 – $2,475 |
| 4 | Blue Cross Blue Shield commercial|blue advantage exchange fee schedule · outpatient | $1,733 | $1,733 | $1,733 – $1,733 |
| 5 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · inpatient | $1,733 | $1,733 | $1,733 – $1,733 |
| 6 | Blue Cross Blue Shield commercial|blue advantage exchange fee schedule · inpatient | $1,898 | $1,898 | $1,898 – $1,898 |
| 7 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $1,898 | $1,898 | $1,898 – $1,898 |
| 8 | Aetna commercial|kelseycare fee schedule · inpatient | $2,063 | $2,063 | $2,063 – $2,063 |
| 9 | Aetna commercial|kelseycare fee schedule · outpatient | $2,063 | $2,063 | $2,063 – $2,063 |
| 10 | Blue Cross Blue Shield commercial|premier fee schedule · outpatient | $2,145 | $2,145 | $2,145 – $2,145 |
| 11 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $2,228 | $2,228 | $2,228 – $2,228 |
| 12 | Optum medicare|all plans fee schedule · outpatient | $1,016 | $2,308 | $9.93 – $43,011 |
| 13 | UnitedHealthcare commercial|exchange fee schedule · inpatient | $2,310 | $2,310 | $2,310 – $2,310 |
| 14 | Aetna commercial|hmo fee schedule · inpatient | $2,393 | $2,393 | $2,393 – $2,393 |
| 15 | Aetna commercial|hmo fee schedule · outpatient | $2,393 | $2,393 | $2,393 – $2,393 |
| 16 | Aetna commercial|ppo fee schedule · inpatient | $2,393 | $2,393 | $2,393 – $2,393 |
| 17 | Aetna commercial|ppo fee schedule · outpatient | $2,393 | $2,393 | $2,393 – $2,393 |
| 18 | Blue Cross Blue Shield commercial|premier fee schedule · inpatient | $2,393 | $2,393 | $2,393 – $2,393 |
| 19 | Cigna commercial|hmo fee schedule · inpatient | $2,475 | $2,475 | $2,475 – $2,475 |
| 20 | Cigna commercial|ppo fee schedule · inpatient | $2,475 | $2,475 | $2,475 – $2,475 |
| 21 | Cigna commercial|surefit fee schedule · inpatient | $2,475 | $2,475 | $2,475 – $2,475 |
| 22 | UnitedHealthcare commercial|charter fee schedule · inpatient | $2,558 | $2,558 | $2,558 – $2,558 |
| 23 | UnitedHealthcare commercial|charter fee schedule · outpatient | $2,558 | $2,558 | $2,558 – $2,558 |
| 24 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $2,723 | $2,723 | $2,723 – $2,723 |
| 25 | Blue Cross Blue Shield commercial|ppo trad fee schedule · outpatient | $2,723 | $2,723 | $2,723 – $2,723 |
Last updated: Feb 28, 2026
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