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
WIREGUIDE 3.0 1.2X100MM 45-30015S
Booneville, AR
See all hospitals reporting HCPCS C1769 →Price type
Mercy Hospital Booneville’s median price of $55 is 73% below the median hospital's median price ($200), higher than 5% 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: 15 payers, 22 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 | Aetna hb bnvar ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $24.00 | $39.11 | $6.00 – $214.50 |
| 2 | Humana hb bnvar ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $24.00 | $39.11 | $6.00 – $214.50 |
| 3 | Aetna hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $28.25 | $46.04 | $7.06 – $252.51 |
| 4 | Blue Cross Blue Shield hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $28.25 | $46.04 | $7.06 – $252.51 |
| 5 | First Health hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $28.25 | $46.04 | $7.06 – $252.51 |
| 6 | Humana hb bnvar humana mcr facility · percent of total billed charges · outpatientfrom % of charges | $28.25 | $46.04 | $7.06 – $252.51 |
| 7 | Humana hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $28.25 | $46.04 | $7.06 – $252.51 |
| 8 | Medica hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $28.25 | $46.04 | $7.06 – $252.51 |
| 9 | Medicare hb bnvar medicare facility · percent of total billed charges · outpatientfrom % of charges | $28.25 | $46.04 | $7.06 – $252.51 |
| 10 | UnitedHealthcare hb bnvar uhc medicare 100% facility · percent of total billed charges · outpatientfrom % of charges | $28.25 | $46.04 | $7.06 – $252.51 |
| 11 | Tricare hb bnvar tricare facility · percent of total billed charges · outpatientfrom % of charges | $28.36 | $46.22 | $7.09 – $253.47 |
| 12 | WellCare hb bnvar novasys mcr 103% facility · percent of total billed charges · outpatientfrom % of charges | $29.10 | $47.42 | $7.27 – $260.06 |
| 13 | Devoted hb bnvar devoted health mcr facility · percent of total billed charges · outpatientfrom % of charges | $29.39 | $47.89 | $7.35 – $262.63 |
| 14 | Cigna hb bnvar healthspring 105% mcr facility · percent of total billed charges · outpatientfrom % of charges | $29.66 | $48.34 | $7.42 – $265.12 |
| 15 | Ambetter hb bnvar novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $38.98 | $63.51 | $9.74 – $348.35 |
| 16 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $57.60 | $93.86 | $14.40 – $514.80 |
| 17 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $57.60 | $93.86 | $14.40 – $514.80 |
| 18 | Aetna hb wldar,ozkar,prsar,bnvr conventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $62.40 | $101.69 | $15.60 – $557.70 |
| 19 | MultiPlan hb bnvar multiplan facility · percent of total billed charges · outpatientfrom % of charges | $76.80 | $125.15 | $19.20 – $686.40 |
| 20 | Cigna hb bnvar cigna facility · percent of total billed charges · outpatientfrom % of charges | $81.60 | $132.97 | $20.40 – $729.30 |
| 21 | Anthem hb bnvar blue cross facility · percent of total billed charges · outpatientfrom % of charges | $86.40 | $140.80 | $21.60 – $772.20 |
| 22 | Blue Cross Blue Shield hb bnvar blue cross facility · percent of total billed charges · outpatientfrom % of charges | $86.40 | $140.80 | $21.60 – $772.20 |
Last updated: Jun 8, 2026
See Discontinued guide wire kit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.