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
CATH DISTL SOFIA 5FX115CM
Dyersville, IA
See all hospitals reporting HCPCS C1887 →Price type
Mercy Medical Center - Dyersville’s median price of $307 is 6% above the median hospital's median price ($290), higher than 52% of the 1,610 hospitals reporting HCPCS C1887. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 12 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 | Wellmark wellmark medicare advantage facility · percent of total billed charges · bothfrom % of charges | $211.48 | $640.47 | $0.01 – $35,732 |
| 2 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $226.47 | $685.88 | $0.01 – $38,265 |
| 3 | UnitedHealthcare united healthcare deere premier facility · percent of total billed charges · bothfrom % of charges | $267.06 | $808.82 | $0.01 – $45,124 |
| 4 | Molina molina medicaid facility · percent of total billed charges · bothfrom % of charges | $268.51 | $813.21 | $0.01 – $45,369 |
| 5 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $315.52 | $955.56 | $0.01 – $53,310 |
| 6 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $315.52 | $955.56 | $0.01 – $53,310 |
| 7 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $315.52 | $955.56 | $0.01 – $53,310 |
| 8 | Cigna midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $343.37 | $1,040 | $0.01 – $58,016 |
| 9 | Medica midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $343.37 | $1,040 | $0.01 – $58,016 |
| 10 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $343.37 | $1,040 | $0.01 – $58,016 |
| 11 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $343.37 | $1,040 | $0.01 – $58,016 |
| 12 | Ambetter ambetter marketplace facility · percent of total billed charges · bothfrom % of charges | $358.93 | $1,087 | $0.01 – $60,646 |
Last updated: Mar 31, 2026
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