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
DISC SPNL MOBI-C 15X19X7
FT WORTH, TX
See all hospitals reporting HCPCS C1889 →Price type
Medical City Fort Worth’s median price of $75.2k is 3103% above the median hospital's median price ($2.3k), higher than 100% of the 1,507 hospitals reporting HCPCS C1889. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 23 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 ifp percent of total billed charges · outpatientfrom % of charges | $19,779 | $19,779 | $19,779 – $19,779 |
| 2 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $20,511 | $20,511 | $20,511 – $20,511 |
| 3 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $27,544 | $27,544 | $27,544 – $27,544 |
| 4 | Blue Cross Blue Shield blueadvantagehmo percent of total billed charges · outpatientfrom % of charges | $36,188 | $36,188 | $36,188 – $36,188 |
| 5 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $36,188 | $36,188 | $36,188 – $36,188 |
| 6 | Cigna localplus percent of total billed charges · outpatientfrom % of charges | $38,679 | $38,679 | $38,679 – $38,679 |
| 7 | Cigna newbusiness percent of total billed charges · outpatientfrom % of charges | $38,679 | $38,679 | $38,679 – $38,679 |
| 8 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $43,220 | $43,220 | $43,220 – $43,220 |
| 9 | Cigna networkbenefit percent of total billed charges · outpatientfrom % of charges | $43,220 | $43,220 | $43,220 – $43,220 |
| 10 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $43,220 | $43,220 | $43,220 – $43,220 |
| 11 | Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges | $46,737 | $46,737 | $46,737 – $46,737 |
| 12 | Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges | $46,737 | $46,737 | $46,737 – $46,737 |
| 13 | Blue Cross Blue Shield eposoa percent of total billed charges · outpatientfrom % of charges | $49,081 | $49,081 | $49,081 – $49,081 |
| 14 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $49,520 | $49,520 | $49,520 – $49,520 |
| 15 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $51,279 | $51,279 | $51,279 – $51,279 |
| 16 | Cigna allother percent of total billed charges · outpatientfrom % of charges | $54,648 | $54,648 | $54,648 – $54,648 |
| 17 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $65,050 | $65,050 | $65,050 – $65,050 |
| 18 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $77,211 | $77,211 | $77,211 – $77,211 |
| 19 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $77,650 | $77,650 | $77,650 – $77,650 |
| 20 | Aetna wcomp percent of total billed charges · outpatientfrom % of charges | $80,581 | $80,581 | $80,581 – $80,581 |
| 21 | Aetna exclusive percent of total billed charges · outpatientfrom % of charges | $86,294 | $86,294 | $86,294 – $86,294 |
| 22 | Aetna nonexclusive percent of total billed charges · outpatientfrom % of charges | $86,294 | $86,294 | $86,294 – $86,294 |
| 23 | Optum comm percent of total billed charges · outpatientfrom % of charges | $125,999 | $125,999 | $125,999 – $125,999 |
Last updated: Mar 1, 2026
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