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 Y DUMON SIL 16X13X13MM
Silver Spring, MD
See all hospitals reporting HCPCS C1875 →Price type
Holy Cross Hospital-Silver Spring’s median price of $1.4k is 59% below the median hospital's median price ($3.3k), higher than 32% of the 829 hospitals reporting HCPCS C1875. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 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 | Cigna cigna healthspring medicare advantage facility · percent of total billed charges · bothfrom % of charges | $1.2k | $2.3k | $2.3k | 101% | — | $609 – $6.8k |
| 2 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $1.2k | $2.3k | $2.3k | 101% | — | $623 – $6.9k |
| 3 | Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges | $1.2k | $2.3k | $2.3k | 101% | — | $623 – $6.9k |
| 4 | Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges | $1.2k | $2.3k | $2.3k | 101% | — | $623 – $6.9k |
| 5 | Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges | $1.3k | $2.3k | $2.4k | 101% | — | $627 – $7.0k |
| 6 | UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges | $1.3k | $2.3k | $2.4k | 101% | — | $627 – $7.0k |
| 7 | Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges | $1.3k | $2.4k | $2.4k | 101% | — | $634 – $7.1k |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $1.3k | $2.4k | $2.4k | 101% | — | $637 – $7.1k |
| 9 | Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges | $1.3k | $2.4k | $2.4k | 101% | — | $641 – $7.1k |
| 10 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $1.3k | $2.4k | $2.5k | 101% | — | $651 – $7.3k |
| 11 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.5k | 101% | — | $676 – $7.5k |
| 12 | Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.5k | 101% | — | $676 – $7.5k |
| 13 | Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.5k | 101% | — | $676 – $7.5k |
| 14 | Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.5k | 101% | — | $676 – $7.5k |
| 15 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.5k | 101% | — | $676 – $7.5k |
| 16 | Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.5k | 101% | — | $676 – $7.5k |
| 17 | Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.5k | 101% | — | $676 – $7.5k |
| 18 | Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.5k | 101% | — | $676 – $7.5k |
| 19 | Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.5k | 101% | — | $676 – $7.5k |
| 20 | Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.5k | 101% | — | $676 – $7.5k |
| 21 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.5k | 101% | — | $676 – $7.5k |
| 22 | Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.5k | 101% | — | $676 – $7.5k |
| 23 | Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.6k | 101% | — | $683 – $7.6k |
| 24 | Humana humana facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.6k | 101% | — | $683 – $7.6k |
| 25 | Humana humana military facility · percent of total billed charges · bothfrom % of charges | $1.4k | $2.5k | $2.6k | 101% | — | $683 – $7.6k |
Last updated: Mar 31, 2026
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