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
STENT NCOV WO 13X-17
Mt Shasta, CA
See all hospitals reporting HCPCS C1877 →Price type
Dignity Health’s median price of $52 is 98% below the median hospital's median price ($2.2k), higher than 2% of the 1,151 hospitals reporting HCPCS C1877. 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, 24 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 | Aetna medicare|all plans fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Kaiser medicare|all plans fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 7 | Anthem medicaid|all plans fee schedule · inpatient | $16 | $16 | — | — | — | $16 – $16 |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 9 | Cigna commercial|all other plans fee schedule · inpatient | $52 | $52 | — | — | — | $52 – $52 |
| 10 | Cigna commercial|all other plans fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 11 | Cigna commercial|ppo fee schedule · inpatient | $52 | $52 | — | — | — | $52 – $52 |
| 12 | Cigna commercial|ppo fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 13 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $55 | $55 | — | — | — | $55 – $55 |
| 14 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 15 | Aetna commercial|all other plans fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 16 | Aetna commercial|hmo fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 17 | Aetna commercial|ppo fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $56 | $56 | — | — | — | $56 – $56 |
| 19 | Aetna commercial|hmo fee schedule · inpatient | $56 | $56 | — | — | — | $56 – $56 |
| 20 | Aetna commercial|ppo fee schedule · inpatient | $56 | $56 | — | — | — | $56 – $56 |
| 21 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $56 | $56 | — | — | — | $56 – $56 |
| 22 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $63 | $63 | — | — | — | $63 – $63 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
Last updated: Feb 28, 2026
See Biliary stent, 10 by 40 mm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.