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
PRGMR NRSTM INTSTM SLM 22X10X4 3037[INDMOR]
Peru, IN
See all hospitals reporting HCPCS C1787 →Price type
Dukes Health System LLC’s median price of $5.2k is 111% above the median hospital's median price ($2.5k), higher than 85% of the 1,382 hospitals reporting HCPCS C1787. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | Tricare node tricare facility · fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 2 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 4 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 5 | Anthem anthem in hip facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 6 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 7 | Optum node united optum va ccn facility · per diem · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 10 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 11 | Anthem anthem in work comp facility · other · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 12 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 13 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 14 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 15 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 16 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 17 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 18 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 19 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 20 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 22 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 23 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 24 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
Last updated: Apr 1, 2026
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