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
G57703-TRAY INTRODUCER TUBE 24/26/28FR PERCUTANEOUS WITH SCALPEL HEMOSTAT NEEDLE SYRINGE SUTURE LIDOCAINE FOR TRACHEOSTOMY CIAGLIA BLUE RHINO EZ-PASS
Greenfield, OH
See all hospitals reporting HCPCS C1769 →Price type
Greenfield Area Medical Center’s median price of $287 is 43% above the median hospital's median price ($200), higher than 66% of the 1,788 hospitals reporting HCPCS C1769. 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, 26 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 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $60.49 | $80.49 | $0.63 – $536.09 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $105.97 | $141.00 | $1.11 – $939.13 |
| 3 | Molina medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $105.97 | $141.00 | $1.11 – $939.13 |
| 4 | Caresource medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $108.09 | $143.82 | $1.13 – $957.91 |
| 5 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $119.22 | $158.63 | $1.25 – $1,057 |
| 6 | Anthem hmo facility · percent of total billed charges · outpatientfrom % of charges | $291.41 | $387.76 | $3.05 – $2,583 |
| 7 | Anthem hmo facility · percent of total billed charges · inpatientfrom % of charges | $298.92 | $397.74 | $3.13 – $2,649 |
| 8 | Medical Mutual commercial facility · percent of total billed charges · inpatientfrom % of charges | $316.89 | $421.66 | $3.32 – $2,808 |
| 9 | Medical Mutual commercial facility · percent of total billed charges · outpatientfrom % of charges | $316.89 | $421.66 | $3.32 – $2,808 |
| 10 | Medical Mutual managed care facility · percent of total billed charges · inpatientfrom % of charges | $316.89 | $421.66 | $3.32 – $2,808 |
| 11 | Medical Mutual managed care facility · percent of total billed charges · outpatientfrom % of charges | $316.89 | $421.66 | $3.32 – $2,808 |
| 12 | Anthem ppo facility · percent of total billed charges · inpatientfrom % of charges | $333.36 | $443.57 | $3.49 – $2,954 |
| 13 | Anthem ppo facility · percent of total billed charges · outpatientfrom % of charges | $342.64 | $455.91 | $3.59 – $3,037 |
| 14 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $346.17 | $460.61 | $3.62 – $3,068 |
| 15 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $346.17 | $460.61 | $3.62 – $3,068 |
| 16 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $359.41 | $478.23 | $3.76 – $3,185 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $359.41 | $478.23 | $3.76 – $3,185 |
| 18 | Anthem hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $370.89 | $493.51 | $3.88 – $3,287 |
| 19 | Anthem medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $370.89 | $493.51 | $3.88 – $3,287 |
| 20 | Anthem hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $381.05 | $507.02 | $3.99 – $3,377 |
| 21 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $381.05 | $507.02 | $3.99 – $3,377 |
| 22 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $397.38 | $528.76 | $4.16 – $3,522 |
| 23 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $418.58 | $556.96 | $4.38 – $3,710 |
| 24 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $418.58 | $556.96 | $4.38 – $3,710 |
| 25 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $419.46 | $558.14 | $4.39 – $3,717 |
Last updated: Aug 19, 2026
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