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
BASEPLATE STRY PRIMARY TIBIAL CEMENT #4 5520-B-400
3500 Tower Ave Superior, WI
See all hospitals reporting HCPCS C1776 →Price type
Essentia Health St Marys Hospital-Superior’s median price of $1.4k is 55% below the median hospital's median price ($3.0k), higher than 13% 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: 7 payers, 37 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 medicare facility · percent of total billed charges · outpatientfrom % of charges | $987.84 | $1,047 | $41.60 – $3,459 |
| 2 | Healthpartners medicare facility · percent of total billed charges · outpatientfrom % of charges | $987.84 | $1,047 | $41.60 – $3,459 |
| 3 | Medica medicare facility · percent of total billed charges · outpatientfrom % of charges | $987.84 | $1,047 | $41.60 – $3,459 |
| 4 | Ucare medicare facility · percent of total billed charges · outpatientfrom % of charges | $987.84 | $1,047 | $41.60 – $3,459 |
| 5 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $987.84 | $1,047 | $41.60 – $3,459 |
| 6 | Healthpartners medicaid facility · percent of total billed charges · inpatientfrom % of charges | $954.75 | $1,187 | $402.00 – $3,241 |
| 7 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,185 | $1,256 | $49.91 – $4,150 |
| 8 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,241 | $1,315 | $52.26 – $4,346 |
| 9 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,241 | $1,315 | $52.26 – $4,346 |
| 10 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1,306 | $1,624 | $550.00 – $4,434 |
| 11 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,354 | $1,839 | $41.60 – $8,691 |
| 12 | Medica medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1,492 | $1,855 | $628.00 – $5,062 |
| 13 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,563 | $1,943 | $658.00 – $5,304 |
| 14 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $1,568 | $1,949 | $660.00 – $5,320 |
| 15 | Healthpartners shp facility · percent of total billed charges · inpatientfrom % of charges | $1,648 | $2,050 | $694.00 – $5,594 |
| 16 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $1,663 | $2,067 | $700.00 – $5,643 |
| 17 | Medica commercial-fi facility · percent of total billed charges · inpatientfrom % of charges | $1,670 | $2,076 | $703.00 – $5,667 |
| 18 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,031 | $2,153 | $85.54 – $7,113 |
| 19 | Medica commercial-si facility · percent of total billed charges · inpatientfrom % of charges | $1,762 | $2,191 | $742.00 – $5,981 |
| 20 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $2,087 | $2,212 | $87.88 – $7,308 |
| 21 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,829 | $2,274 | $770.00 – $6,207 |
| 22 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $2,146 | $2,275 | $90.38 – $7,515 |
| 23 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $2,170 | $2,300 | $91.39 – $7,599 |
| 24 | Medica ifb aco facility · percent of total billed charges · inpatientfrom % of charges | $1,855 | $2,307 | $781.00 – $6,296 |
| 25 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,893 | $2,354 | $797.00 – $6,425 |
Last updated: Jan 1, 2026
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