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
GRAFT VASC GORE-TEX T10MM 70CM RS X 80CM RRT10070080L
Ozark, MO
See all hospitals reporting HCPCS C1768 →Price type
Mercy Hospital Springfield’s median price of $1.5k is 38% below the median hospital's median price ($2.4k), higher than 33% of the 1,443 hospitals reporting HCPCS C1768. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 19 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 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.6k | $2.6k | 166% | — | $15 – $24.7k |
| 2 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.8k | $2.9k | 166% | — | $18 – $28.2k |
| 3 | Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.8k | $2.9k | 166% | — | $18 – $28.2k |
| 4 | Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.8k | $2.9k | 166% | — | $18 – $28.2k |
| 5 | Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.8k | $2.9k | 166% | — | $18 – $28.2k |
| 6 | Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.8k | $2.9k | 166% | 178–1,780 | $18 – $28.2k |
| 7 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.8k | $2.9k | 166% | — | $18 – $28.2k |
| 8 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.8k | $2.9k | 166% | — | $18 – $28.2k |
| 9 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.9k | $4.8k | 166% | — | $28 – $45.7k |
| 10 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.9k | $4.8k | 166% | — | $28 – $45.7k |
| 11 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $3.0k | $5.0k | 166% | — | $30 – $47.8k |
| 12 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $3.2k | $5.3k | 166% | — | $32 – $50.7k |
| 13 | Optum hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $3.3k | $4.3k | 131% | — | $1.1k – $33.2k |
| 14 | UnitedHealthcare hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $3.3k | $4.3k | 131% | — | $1.1k – $33.2k |
| 15 | UnitedHealthcare hb sprg uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $3.3k | $4.3k | 131% | — | $1.1k – $33.2k |
| 16 | UnitedHealthcare hb sprg uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $3.3k | $4.3k | 131% | — | $1.1k – $33.2k |
| 17 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $3.5k | $4.5k | 130% | — | $1.3k – $34.4k |
| 18 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $4.0k | $5.4k | 136% | — | $1.2k – $43.8k |
| 19 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $4.0k | $5.4k | 136% | — | $1.2k – $43.8k |
Last updated: Jun 4, 2026
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